Analysis of the Early Efficacy of Applying the Traditional Rehabilitation Model and the ERAS Model after Femoral Neck Fracture Surgery

Meng Defeng; Wang Yuzhao; Zhong Hao

doi:10.3969/j.issn.1004-5775.2023.24.020

Abstract：Objective:To investigate the early efficacy of the traditional rehabilitation model versus the enhanced recovery after surgery(ERAS)model for postoperative rehabilitation after hip arthroplasty for femoral neck fractures.Methods:119 patients with femoral neck fractures undergoing hip arthroplasty admitted to the hospital from December 2019 to August 2021 were selected and divided into traditional rehabilitation group(49 cases),and ERAS group(70 cases)according to the different intervention models and postoperative management.During the perioperative period,the patients were treated with conventional rehabilitation mode and ERAS mode,respectively.The patients'vital signs,complications and postoperative hospitalization time were observed in both groups,and the patients were followed up for 3 months,and the early efficacy was analyzed by functional recovery and quality of life.Results:There was no statistically significant difference in the preoperative indices between the two groups(P＞0.05).With different perioperative interventions,time to first landing,and time to discharge were significantly higher in the traditional rehabili-tation group than in the ERAS group,with statistically significant differences(t=5.674,4.231,P＜0.05).At three months of fol-low-up,the Harris score was significantly lower in the group than in the ERAS group at 1 week,1 month,and 2 months postopera-tively,and the difference was statistically significant(t=4.680,4.875,4.446,P＜0.05).Conclusion:The use of ERAS mode in the perioperative period of hip replacement for femoral neck fracture is safer and more effective than the traditional mode,which ac-celerates the postoperative recovery of patients,reduces the hospitalization time,improves the early quality of life of patients,and improves the efficiency and level of clinical treatment.