Z. Wang, Aixi Yu, Baiwen Qi, Weidong Xiao, Yong Zhao, Zonghuan Li
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引用次数: 0
Abstract
Objective
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 comprehensive measures, including strengthening psychological nursing, nutrition support and pain management, optimizing operation plan, and early scientific functional exercise. Surgical duration, hospital stay time, satisfaction of patients, 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.
Key words:
Enhanced recovery after surgery; Fibula flap; Graft; Bone defect, long
期刊介绍:
Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery.
The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.