Observation on the Short-Term Effect of Enhanced Recovery after Surgery Concept Combined with Artificial Femoral Head Replacement in the Treatment of Elderly Intertrochanteric Fractures

Abstract

Abstract:

〔Abstract〕 Objective： To observe the clinical effect of enhanced recovery after surgery（ERAS） concept combined with artificial femoral head replacement in the treatment of elderly intertrochanteric fractures. Methods： The case data of 87 elderly patients with intertrochanteric fractures admitted to the Department of Orthopedics of Panzhihua Central Hospital from January 2018 to December 2020 were retrospectively analyzed. According to the treatment method， they were divided into an observation group（52 cases） and a control group（35 cases）. Both groups adopted the ERAS concept. The observation group was treated with artificial femoral head replacement， and the control group was treated with proximal femoral nail antirotation（PFNA）. Intraoperative blood loss， blood transfusion， operation time， incision length， complications and fatality in the early postoperative period and during follow-up， postoperative out-of-bed time， hospitalization time and satisfaction were evaluated in the two groups. Results： There were no significant differences in operation time， blood transfusion rate， complication rate and fatality rate between the two groups （P>0.05）.The patients in the observation group had more intraoperative blood loss and longer surgical incisions， but the time to get out of bed and hospitalization time were shorter than those of the control group， and the patient satisfaction was higher， and the differences were statistically significant（P＜0.05）. Conclusion： ERAS concept combined with artificial femoral head replacement for the treatment of elderly intertrochanteric fractures can improve the hip function of patients earlier， relieve hip pain， meet the needs of patients for early getting out of bed， improve early quality of life， shorten hospitalization time， and increase patient satisfaction with treatment. It is a safe and effective treatment.

Key words:

"> ">〔Key words">〕 enhanced recovery after surgery">, femoral head replacement">, femoral intertrochanteric fracture">, proximal femoral nail antirotation

CLC Number:

Wang Hongping, Yang Xiaoqin, Tao Qifeng, Wang Mingyou, Lan Yuping.

Observation on the Short-Term Effect of Enhanced Recovery after Surgery Concept Combined with Artificial Femoral Head Replacement in the Treatment of Elderly Intertrochanteric Fractures [J]. Journal of Dali University, 2022, 7(4): 66-70.

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