Skip to main content
. 2017 May 11;2017(5):CD001159. doi: 10.1002/14651858.CD001159.pub2

Nie 2015.

Methods RCT
Approved by the ethics committee and written informed obtained
Setting: China
Funding: governmental
Open reduction and internal fixation surgery with the antirotation proximal femoral nail technique
Participants 104 participants scheduled for open reduction of hip fracture
Excluded: neuropathy involving lower extremities, bladder dysfunction, coagulopathies, known allergy to amide local anaesthetic drugs or opioids, inability to co‐operate, psychological disorders or linguistic difficulties that could interfere with pain assessment
Interventions Treatment group: fascia iliaca block (n = 51)
Control treatment: intravenous patient‐controlled analgesia (n = 53)
General anaesthesia with fentanyl, remifentanil, propofol and atracurium for surgery and flurbiprofen 40 mg at completion of surgery, plus acetaminophen and dihydrocodeine or morphine on request as rescue analgesia for all participants
Outcomes Pain at 2, 4, 6, 12, 24 and 48 hours after surgery (taken as at rest)
Acute confusional state (time point unspecified, participants screened daily; length of hospital stay 23 and 21 days for fascia iliaca and IV groups, respectively)
Opioid consumption up to 48 hours
Participant satisfaction (92.5% of participants receiving a fascia iliaca block were satisfied vs 94.3% of participants receiving IV analgesia)
Notes Additional information received from study authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Randomly assigned according to a computer‐generated random number table"
Allocation concealment (selection bias) Unclear risk Not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes High risk "Blinding could not be conducted due to differences in the analgesia procedures and
 infusion pumps used"
Blinding of outcome assessment (detection bias) 
 All outcomes High risk "Blinding could not be conducted due to differences in the analgesia procedures and
 infusion pumps used"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk "Patients who underwent the full protocol were included in the analysis"
2 participants withdrawn from fascia iliaca group owing to catheter failure
Selective reporting (reporting bias) Unclear risk All results mentioned in methods section given in results section, except preoperative and postoperative mini‐mental state examination. We contacted study authors who informed us that Mini Mental tests were not "collected"
Other bias Unclear risk Groups well balanced. Prophylaxis against nausea and vomiting given to IV group only
Not in intention‐to‐treat