Construction and validation of a surgical programme for the rapid rehabilitation of patients undergoing ankle fracture surgery
Objective To construct and validate an enhanced recovery after surgery(ERAS)programme for patients undergoing ankle fracture surgery.Methods Eighty-seven ankle fracture patients admitted to our hospital between January 2021 and April 2023 were selected as the study subjects,and the patients were divided into the observation group(n=43)and the control group(n=44)using the random number table method.The observation group implemented the ERAS programme,and the control group implemented the conventional perioperative programme.The perioperative indexes of the patients in the two groups were compared in terms of pain[pain visual analogue scale(VAS)],ankle function[American Orthopedic Foot and Ankle Society(AOFAS),ankle mobility and swelling],quality of life[36-item short form survey(SF-36)]and satisfaction.Results The operation time,intraoperative blood loss,hospital stay,fracture healing time,and total postoperative complication rate were lower in the observation group than in the control group.The VAS scores of the observation group were lower than those of the control group at 1 day postoperatively and at the time of discharge(P<0.05).At 3 months postoperatively and 6 months postoperatively,the AOFAS score and ankle range of motion(dorsiflexion and plantarflexion)were higher in the observation group than in the control group(P<0.05),and the ankle swelling value was lower than that of the control group(P<0.05).SF-36 scores(physical function,general health,social function and mental health scores),overall surgical outcomes,hospitalisation satisfaction rate and overall health status satisfaction were higher in the observation group than that in the control group(P<0.05).Conclusions This ERAS protocol can effectively optimize perioperative indicators for patients undergoing ankle fracture surgery,reduce postoperative complications,alleviate pain,improve quality of life,accelerate the rehabilitation process and improve prognosis.
Enhanced recovery after surgeryAnkle jointAnkle fractures
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