Application of ERAS in the postoperative treatment of patellar fractures and its effect on the recovery of knee function
Objective To explore the application effect of enhanced recovery after surgery(ERAS)in the perioperative treatment of patellar fracture and its impact on the recovery of knee joint function.Methods Eighty patients with patellar fracture admitted to the Department of Orthopedics of our hospital from January 2021 to January 2023 were selected and randomly divided into the experimental group and the control group,with 40 cases in each group.The experimental group was given the ERAS protocol along with a self-devised traditional Chinese medicine(TCM)formula for external application and a rehabilitation program.The control group received routine rehabilitation intervention.The functional recovery and range of motion(ROM)of the knee joint,anxiety and pain levels at various time points,and the incidence of complications in both groups were observed.Results All patients in both groups were followed up.The Hospital for Special Surgery Knee Score(HSS)excellent∕good rate in the experimental group was significantly better than that in the control group at 1 week,1 month,and 3 months postoperatively(χ2=4.501,18.061,17.067,P<0.05).The knee joint ROM in the experimental group was significantly better than that in the control group at 1 week,1 month,and 3 months postoperatively(t=1.645,16.423,3.728,P<0.05).There was no significant difference in the Self-rating Anxiety Scale(SAS)scores and Visual Analogue Scale(VAS)scores between the two groups before surgery(P>0.05).The SAS scores of the experimental group at 3 days and 1 week postoperatively were significantly lower than those of the control group[(50.47±4.85)vs.(58.63±6.92),(45.71±3.32)vs.(53.64±4.23)],with a significant difference(t=7.286,8.662,P<0.05).The VAS scores of the experimental group at 1 day,3 days,and 1 week postoperatively were significantly lower than those of the control group[(5.36±0.59)vs.(5.87±0.75),(3.02±0.26)vs.(5.06±0.55),(2.12±0.34)vs.(4.53±0.59)],with a significant difference(t=4.326,5.564,4.013,P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(χ2=0.721,P=0.396).Conclusions The application of the ERAS protocol during the perioperative period of patellar fracture treatment can alleviate patients'negative emotions and pain,accelerate the recovery of knee joint function,and improve patient satisfaction.
Patellar fractureEnhanced recovery after surgeryFunction of knee joint
万方数据
维普
