Abstract: Objective To investigate the effects of enhanced recovery after surgery （ERAS） on intertrochanteric fracture patients undergoing proximal femoral nail antirotation （PFNA） fixation. Methods 100 patients were included in this retrospective study whichwas adopted betweenpatients treated in an ERAS after intramedullary fixation with those rehabilitated on a regular pathway. The patients were assigned to ERAS group （50 cases） and control group （50 cases）.Clinicaland demographic data were collected among the two pathways including length of hospital stay, Harris hip scores （HHS）, visual analog scale （VAS）, and activity of daily living scale （ADL）. Results ERAS procedure wasassociated with shorter length of hospital stay, lower postoperative VAS scores, earlier mobilization,significant improvement in the mean HHS scores at 3 months postoperatively. The mean length of hospital staydecreased from 6.3±2.8 days to 4.9±2.6 days after implementation of ERAS pathway. Conclusion This series of intertrochanteric fracture patients treated with the orthopedic ERAS procedure demonstratedthat the procedure is capable of reducing LOS and preserving hip function without compromising functional outcome. This improvement was possible without a concomitant increase in postoperative complications and readmission rates.

Key words: intertrochanteric fracture, enhanced recovery after surgery （ERAS）, proximal femoral nail antirotation

摘要： 目的 探讨加速康复外科（ERAS）对股骨近端抗旋髓内钉（PFNA）固定的粗隆间骨折患者的影响。方法 回顾性研究纳入100例粗隆间骨折患者,分为ERAS组（50例）和对照组（50例）,记录两组的住院天数、Harris髋关节评分（HHS）、视觉模拟量表（VAS）、日常生活活动量表（ADL）。结果 ERAS 手术与较短的住院时间、较低的术后VAS评分、较早的活动和术后3个月的平均HHS评分显著改善相关,平均住院时间从6.3±2.8减少到4.9±2.6天。结论 股骨粗隆间骨折患者围手术期接受ERAS处理能够减少住院时间而不增加术后并发症和再入院率。

关键词: 粗隆间骨折, 加速康复外科（ERAS）, 近端防旋髓内钉固定