Comparative Study Between Pericapsular Nerve Group Block (PENG) And Pericapsular Nerve Group (PENG) Block Combined With Lateral Femoral Cutaneous Nerve (LFCN) Block for Positioning Analgesia Prior to Spinal Anesthesia in Hip Fracture Patients

To evaluate and compare the effectiveness of the Pericapsular Nerve Group (PENG) block alone versus the PENG block combined with the Lateral Femoral Cutaneous Nerve (LFCN) block in providing adequate analgesia for patient positioning during spinal anesthesia in individuals undergoing surgery for hip fracture.

Inclusion Criteria: * Age 18-70 years. * ASA I-II. * Confirmed primary unilateral hip fracture. * Scheduled for surgery under spinal anesthesia. * Patients able to provide informed consent. Exclusion Criteria: * Allergy to local anesthetics. * Coagulopathy or on anticoagulant therapy. * Infection at injection site. * Pre-existing neurological deficits in the lower limbs. * Multiple trauma or polytrauma (If other injuries might interfere with positioning or pain scoring). * Previous surgery on the ipsilateral hip affecting anatomy or nerve distribution.