Enhanced Recovery After Surgery (ERAS) Rehabilitation Protocols Significantly Improve Postoperative Pain and Recovery in Ankle Fracture Surgery.

IF 2.8 3区医学 Q1 Pharmacology, Toxicology and Pharmaceutics

Therapeutics and Clinical Risk Management Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S517790

Qian Yang, Huan Yang, JunYan Zhao, Lei Ren

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Abstract

Background: Enhanced Recovery After Surgery (ERAS) principles have gained widespread recognition for optimizing recovery across various surgical specialties. Effective management of postoperative pain plays a pivotal role in facilitating early rehabilitation and enhancing patient outcomes, particularly in ankle fracture surgery. This study investigated the effectiveness of rehabilitation therapies rooted in ERAS protocols in alleviating postoperative wound pain and improving recovery for patients undergoing ankle fracture surgery.

Methods: A total of 376 patients who underwent ankle fracture surgery between December 2022 and December 2023 were included in this retrospective analysis. Of these, 190 patients received ERAS-guided rehabilitation, while 186 underwent standard rehabilitation care. The ERAS program encompassed tailored interventions such as multimodal pain control, prompt mobilization, and personalized physical therapy regimens. Pain intensity was evaluated using the Visual Analog Scale (VAS) at 24 hours, 48 hours, and 7 days postoperatively. Additional metrics, including the duration of hospital stay, complication rates, and patient satisfaction, were also assessed.

Results: Patients in the ERAS group experienced significantly lower VAS scores than the standard care group at 24 hours (4.2 ± 1.1 vs 5.6 ± 1.4, P<0.001), 48 hours (3.1 ± 0.9 vs 4.4 ± 1.2, P<0.001), and 7 days post-surgery (2.0 ± 0.7 vs 3.1 ± 0.9, P<0.001). Furthermore, those receiving ERAS care had a shorter average hospital stay (5.1 ± 1.6 days vs 6.7 ± 2.1 days, P<0.001) and reported higher levels of satisfaction (92.1% vs 78.4%, P<0.001). However, there were no statistically significant differences in overall complication rates between the two groups (3.7% vs 4.3%, P=0.712).

Conclusion: Rehabilitation therapies incorporating ERAS principles demonstrate substantial benefits in reducing postoperative wound pain and expediting recovery in ankle fracture surgery patients. These findings underscore the value of integrating ERAS-driven protocols into clinical practice to enhance patient experiences and postoperative outcomes.

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增强术后恢复（ERAS）康复方案显著改善踝关节骨折术后疼痛和恢复。

背景：增强术后恢复（ERAS）原则在优化各种外科专业的恢复方面得到了广泛的认可。术后疼痛的有效管理在促进早期康复和提高患者预后方面起着关键作用，特别是在踝关节骨折手术中。本研究探讨了基于ERAS方案的康复治疗在减轻踝关节骨折患者术后伤口疼痛和促进康复方面的有效性。方法：对2022年12月至2023年12月期间接受踝关节骨折手术的376例患者进行回顾性分析。其中，190名患者接受了eras引导的康复治疗，186名患者接受了标准的康复治疗。ERAS项目包括量身定制的干预措施，如多模式疼痛控制、及时活动和个性化物理治疗方案。术后24小时、48小时和7天采用视觉模拟评分法（VAS）评估疼痛强度。还评估了其他指标，包括住院时间、并发症发生率和患者满意度。结果：ERAS组患者在24小时的VAS评分明显低于标准护理组（4.2±1.1 vs 5.6±1.4）。结论：采用ERAS原则的康复治疗在减轻踝关节骨折患者术后伤口疼痛和加速康复方面具有显著的益处。这些发现强调了将eras驱动的方案整合到临床实践中以提高患者体验和术后结果的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-

CiteScore

5.30

自引率

3.60%

发文量

139

审稿时长

16 weeks

期刊介绍： Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.