Promoting peri-operative management of senile hip fractures in light of enhanced recovery after surgery / 中华创伤骨科杂志

ABSTRACT

Enhanced Recovery After Surgery (ERAS) has been well-accepted and popularized in many surgeries but not in the field of trauma orthopaedics except in senile hip fractures for which relatively fast progress has been made in ERAS.Senile hip fractures have been regarded as important as stroke and myocardial infarction in discussion of emergency management due to tremendously changed understanding of the injury in the elderly,indicating the importance of ERAS for this population.The key point to ERAS for senile hip fractures is to optimizing peri-operative management so as to reduce surgical risks,improve surgical safety and enhance patients' satisfaction.The optimal peri-operative management involves proper surgical timing,nutritional support,management of pain and sleep,prevention of infection and venous thromboembolism,optimal application of drainage tubes and urinary catheters,and functional rehabilitation as well.This article reviews the literature concerning peri-operative management of senile hip fractures in the light of ERAS,and summarizes the strategies for the peri-operative management for the elderly patients.