Department of Orthopaedic Surgery, Ningbo NO. 6 Hospital, Zhejiang, China.
Medicine (Baltimore). 2021 Feb 5;100(5):e24331. doi: 10.1097/MD.0000000000024331.
To retrospectively analyze the functional outcomes and complications in patients who underwent hip arthroplasty with enhanced recovery after surgery (ERAS) program for femoral neck fractures.Between June 2015 and May 2019, 1138 patients with femoral neck fractures were treated in our department. According to the Garden classification system, 467 cases were type III and 671 cases were type IV with an average age of 74.9 ± 8.8 years (range, 59-96 years). All patients underwent hip arthroplasty with ERAS. The clinical outcomes of these patients were retrospectively analyzed at the final follow-up using the Harris hip score (HHS).The median follow-up was 21.2 months (range, 6-36 months). The mean time to surgery and the length of hospitalization after surgery were 2.4 and 2.2 days, respectively. Eight hundred and fifty-two patients (74.9%) were operated within 48 hours from admission, 1052 cases (92.4%) were discharged within 48 hours after surgery. Twelve patients (1.05%) were readmitted for prosthetic dislocation. None of the patients suffered from infection, periprosthetic fractures, and/or prosthetic loosening. The HHS at the final follow-up was 92.7 ± 7.6, with an excellent or good rate of 90.2%.Patient-oriented ERAS optimizes the interventional measures during the perioperative period for geriatric patients with femoral neck fractures and can improve their short-term clinical outcomes without increased readmission rates.
回顾性分析接受加速康复外科（ERAS）方案治疗股骨颈骨折患者的功能结果和并发症。2015 年 6 月至 2019 年 5 月，我科收治股骨颈骨折患者 1138 例。根据 Garden 分类系统，III 型 467 例，IV 型 671 例，平均年龄 74.9±8.8 岁（59-96 岁）。所有患者均接受 ERAS 髋关节置换术。最终随访时，采用 Harris 髋关节评分（HHS）对这些患者的临床结果进行回顾性分析。中位随访时间为 21.2 个月（6-36 个月）。手术时间和术后住院时间的中位数分别为 2.4 天和 2.2 天。852 例（74.9%）患者在入院后 48 小时内手术，1052 例（92.4%）患者在术后 48 小时内出院。12 例（1.05%）患者因假体脱位再次入院。无感染、假体周围骨折和/或假体松动发生。最终随访时 HHS 为 92.7±7.6，优良率为 90.2%。以患者为中心的 ERAS 优化了老年股骨颈骨折患者围手术期的干预措施，可改善其短期临床结果，而不会增加再入院率。
