Effect of fast track orthopedics on peri -operative rehabilitation of elderly femoral neck fracture
10.3760/cma.j.issn.1008-6706.2016.20.027
- VernacularTitle:骨科快速通道理念对老年人股骨颈骨折围手术期康复指导效果
- Author:
Yinzong GAN
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Fast track orthopedics;
Rehabilitation;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(20):3143-3146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of peri -operative rehabilitation between the fast track ortho-pedics(FTO)and non -FTO with elderly femoral neck fractures.Methods 34 patients with elderly femoral neck fractures in the Nanjing Gaochun Hospital of Traditional Chinese Medicine during June 2014 to March 2015 were col-lected.All patients were divided into FTO group(n =17)and non -FTO group(n =17)randomly,the FTO group was treated with FTO and the non -FTO group was under routine perioperative rehabilitation program.Comparison were performed between two groups on postoperative by Harris score,patient satisfaction,visual analogue score (VAS), length of stay (LOS) and postoperative complication.Results All the 34 patients were followed up for 8 -16 months,average(12.0 ±2.4)months.There was no significant difference in VAS scores between the two groups (P >0.05).The VAS score in the postoperative group FTO[(1.8 ±0.7)points]was significantly lower than that in the non FTO group[(2.6 ±0.9)points],and the difference was statistically significant (t =1.389,P <0.05).There was no significant difference in Harris scores between the two groups(P >0.05).The Harris score in the FTO group [(84.9 ±3.7)points]was significantly higher than that in the non -FTO group[(72.3 ±5.2)points],and the difference was statistically significant(t =3.243,P <0.05).Conclusion FTO can effectively promote the surgical treatment,reduce the pain,recovery of hip joint function and improve patient satisfaction in elderly femoral neck frac-tures.
