Clinical study of enhanced recovery after surgery in elderly hip arthroplasty patients

YAN Yan-lan; YAN Ting-ting; WANG Ting-yu

doi:10.3969/j.issn.2095-252X.2025.09.008

Abstract：Objective To analyze the application effect of enhanced recovery after surgery(ERAS)in elderly hip arthroplasty(HA)patients.Methods A total of 130 cases of elderly hip fracture admitted to our hospital from January 2022 to June 2024 were selected,and the patients were divided into the control group(n=65)and the ERAS group(n=65)using the randomized numerical table method.The perioperative indicators(operation time,intraoperative blood loss,off-bed time,hospitalization time,postoperative complications)between the two groups were compared.Pain level was assessed using the numerical rating scale(NRS).Kendall's muscle strength classification,timed up and go test(TUGT),gait analysis were performed to assess muscle strength and gait status;The Harris Hip Score(HHS),Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Activities of Daily Living scale(ADL)to assess hip function and mobility.Results Surgical time,off-bed time and hospitalization time were shorter in the ERAS group than in the control group(P<0.05).The NRS scores of resting and active states were lower in the ERAS group than in the control group on postoperative days 1,2,3,4 and 5(P<0.05).At 1 and 3 months postoperatively,the TUGT score was lower and muscle function was stronger in the ERAS group than in the control group(P<0.05);at 3 months postoperatively,stride length,speed,swing speed,step length,and average speed were greater in the ERAS group than in the control group(P<0.05).At 1,3 and 6 months postoperatively,HHS and ADL scores were higher and WOMAC scores were lower in the ERAS group than in the control group(P<0.05).At 1 year postoperatively,the total postoperative complication rate was lower in the ERAS group than in the control group(7.7%vs.21.5%,P=0.025).Conclusions The ERAS protocol can effectively optimize the perioperative indexes of elderly HA patients,improve the therapeutic effect,shorten the off-bed time and hospital stay,reduce the complication rate and the degree of postoperative pain,and improve the hip function at an early stage and the quality of life.