International Journal of Medicine and Data

Objective To investigate the clinical value of a perioperative medical optimization strategy based on the Enhanced Recovery After Surgery (ERAS) concept in the minimally invasive treatment of intertrochanteric femoral fractures in elderly patients using proximal femoral nail antirotation (PFNA). Methods A retrospective study was conducted on 100 elderly patients (aged ≥80 years) with intertrochanteric femoral fractures who underwent PFNA minimally invasive treatment. According to the perioperative management protocol, they were divided into a control group (n=48, conventional treatment) and an observation group (n=52, ERAS-based optimization strategy). Surgical indicators, postoperative rehabilitation, complications, and clinical outcomes were compared between the two groups. Results There were no statistically significant differences in operative time or intraoperative blood loss between the two groups (P>0.05). The time to first postoperative ambulation and length of hospital stay in the observation group were significantly shorter than those in the control group, and the Visual Analogue Scale (VAS) scores at 24h, 48h, and 72h postoperatively were significantly lower than those in the control group (P<0.05). The total incidence of complications in the observation group (7.69%) was lower than that in the control group (22.92%), and the excellent-good rate of hip joint function recovery (94.23%) was higher than that in the control group (79.17%) (P<0.05). Conclusion The perioperative medical optimization strategy based on the ERAS concept can reduce postoperative pain, accelerate rehabilitation, lower complication rates, and improve hip joint function without increasing surgical difficulty, thus meriting clinical promotion.

Enhanced recovery after surgery; Proximal femoral nail antirotation; Elderly; Intertrochanteric femoral fracture; Perioperative optimization; Minimally invasive treatment