Application of enhanced recovery after surgery principles in treating long bone defect with free fibula graft
10.3760/cma.j.issn.1001-2036.2019.05.011
- VernacularTitle:加速康复外科理念在腓骨瓣游离移植治疗长段骨缺损中的应用
- Author:
Zheng WANG
1
;
Aixi YU
;
Baiwen QI
;
Weidong XIAO
;
Yong ZHAO
;
Zonghuan LI
Author Information
1. 武汉大学中南医院创伤与显微骨科
- Keywords:
Enhanced recovery after surgery;
Fibula flap;
Graft;
Bone defect,long
- From:
Chinese Journal of Microsurgery
2019;42(5):463-466
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the application of enhanced recovery after surgery (ERAS) principles in treating long bone defect with free fibula graft (FVFG). Methods From January, 2012 to January, 2017, ERAS principles were applied in 26 cases of long bone defect treating with vascularized fibula flap graft, via a series of com-prehensive measures, including strengthening psychological nursing, nutrition support and pain management, optimiz-ing operation plan, and early scientific functional exercise. Surgical duration, hospital stay time, satisfaction of pa-tients, postoperative visual analogue scale (VAS) score, bone defect healing time, and Enneking score were recorded through regular outpatient follow-up after discharge. Results The average length of surgical duration and hospital stay time was(3.2±0.5) h and (10.2±1.2) d, respectively. Discharged satisfaction was greater than 95%. Postoperative VAS score was less than 3. During the follow-up period of 1.6-6.0 years, 26 fibular flap survived, and all the bone defect were healed, with an average healing time of (5.5±0.6) months.Followed-up at 1.5 years after the operation, the upper limb function of 7 patients increased by 80.1%, and the lower limb function of 19 patients increased by 82.5%. Conclusion The application of ERAS in treating long bone defect with FVFG can obtain satisfactory limb function, alleviate patients’pain, shorten the duration of hospitalization, promote the rehabilitation and satisfaction of patients.
