Analysis of the application effect of enhanced recovery after surgery in elderly total hip arthroplasty

JI Ye-zhi; HE Wei-dong; REN Xi-ning

doi:10.3969/j.issn.2095-252X.2025.01.008

Abstract：Objective To analyze the effect of enhanced recovery after surgery (ERAS) in elderly Total Hip Arthroplasty (THA) patients. Methods 130 cases of elderly THA admitted to our hospital from January 2023 to February 2024 were selected and divided into ERAS group and control group according to randomized numerical table method,and each group consisted of 65 cases. There were 40 males and 90 females,and their ages ranged from 60 to 87 years (mean,73.44±5.91 years). Perioperative indicators (operation time,intraoperative blood loss,out of bed time,hospitalization,postoperative complications) and hip functions[hip range of motion,timed up and go test (TUGT),Western Ontario and McMaster Universities Osteoarthritis Index (WOOI)]were evaluated in both groups. McMaster Universities Osteoarthritis Index (WOMAC),Harris hip score (HHS),pain level (numerical rating scale,NRS),and quality of life (36-item short form,SF-36) were analyzed. Results The operation time,intraoperative blood loss,time out of bed and hospitalization time were lower in the ERAS group than in the control group (P<0.05). The total postoperative complication rate was lower in the ERAS group than in the control group (9.2％ vs. 26.2％,P=0.011). At 1 week and 1 month postoperatively,TUGT and WOMAC were lower in the ERAS group than in the control group (P<0.05),and hip range of motion and HHS were higher than that in the control group (P<0.05). At 1 week,1 month,and 3 months postoperatively,the NRS in the ERAS group was lower than that in the control group during the rest and activity periods (P<0.05). At 3 months postoperatively,patients in the ERAS group had higher SF-36 scores on all dimensions than patients in the control group (P<0.05). Conclusions The ERAS protocol optimizes the perioperative indexes of elderly THA patients,reduces postoperative complications,improves hip function at an early stage,reduces the degree of postoperative pain,improves the quality of life,and accelerates patient recovery.