Volume 23 Issue 2
Feb.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(2): 314-317
WANG Chongjia, GU Chunjiang, ZHANG Zhiwang, WANG Chun, ZHENG Chunlei. Analysis of the therapeutic effect of enhanced recovery after surgery for elderly patients with total knee arthroplasty[J]. Chinese Journal of General Practice, 2025, 23(2): 314-317. doi: 10.16766/j.cnki.issn.1674-4152.003893
Citation: WANG Chongjia, GU Chunjiang, ZHANG Zhiwang, WANG Chun, ZHENG Chunlei. Analysis of the therapeutic effect of enhanced recovery after surgery for elderly patients with total knee arthroplasty[J]. Chinese Journal of General Practice, 2025, 23(2): 314-317. doi: 10.16766/j.cnki.issn.1674-4152.003893
shu

Analysis of the therapeutic effect of enhanced recovery after surgery for elderly patients with total knee arthroplasty

doi: 10.16766/j.cnki.issn.1674-4152.003893

  • Tongxiang First People's Hospital of Hangzhou Medical College, Jiaxing, Zhejiang 314500, China

Funds:

 2022KY1277

  • Received Date: 2024-01-16
    Available Online: 2025-03-27
    Abstract
  •   Objective   To explore the effect and safety of enhanced recovery after surgery (ERAS) management in elderly patients with total knee arthroplasty (TKA).   Methods   Elderly patients over 70 years old who underwent TKA surgery in Tongxiang First People's Hospital from January 2018 to February 2022 were included. They were randomized to ERAS and traditional groups and received different perioperative management programs. Patient demographic data, operation time, intraoperative blood loss, blood transfusion rate, length of hospital stay, and postoperative complications were recorded. The Oxford University knee score (OKS) and knee active range of motion (ROM) were recorded before the surgery and on day 3, 1 month, and 1 year postoperatively. Comparisons between the two groups were performed using the t-test, chi-square test, or Fisher ' s exact probability method.   Results   A total of 202 elderly patients were included in this study, with 106 patients in the ERAS group and 96 patients in the traditional group. Compared with the traditional group, the intraoperative blood loss in the ERAS group was significantly lower [(151.2±9.3) mL vs. (133.7±10.5) mL, P < 0.001], and the length of hospital stay was significantly shorter [(8.8±1.3) d vs. (10.2±1.7) d, P < 0.001]. The complication rate was significantly lower [45.8% (44/96) vs. 30.2% (32/106), P=0.022], and the OKS score was higher on the 3rd day after surgery [(21.6±4.5) vs. (26.8±3.6), P < 0.05]. Activity was significantly higher on the 3rd day [(67.8±10.5)° vs. (71.8±7.0)°, P < 0.001] and 1 month [(80.7±8.3)° vs. (85.1±7.6)°, P < 0.001] after the surgery. There was no significant difference in 1-year follow-up mortality between the two groups (P>0.05).   Conclusion   For elderly TKA, ERAS can improve postoperative pain and accelerate postoperative recovery of joint function without increasing mortality.

     

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