Enhanced recovery after surgery (ERAS) for total hip replacement at Can Tho Central General Hospital

Tóm tắt

Objectives: The Enhanced Recovery After Surgery (ERAS) program has demonstrated significant benefits for patients undergoing total hip arthroplasty (THA). This study aims to evaluate the effectiveness of early recovery measures following total hip replacement surgery at the Center for Trauma and Orthopedics, Can Tho Central General Hospital. Subjects and Methods: A retrospective and prospective descriptive study was conducted on 70 patients in 2021 and 71 patients in 2024, all of whom underwent total hip replacement surgery at the Orthopedic Trauma Center of Can Tho Central General Hospital. Results: The combined sample included 141 patients with an average age of 56.65 ± 12.02 years. The most common cause for surgery was femoral head necrosis (48.9%). A majority of patients received local infiltration analgesia (79.4%) and epidural analgesia (68.8%). Postoperative complications occurred in 6.3% of patients. Statistically significant differences were observed in several key areas, including mean Harris Hip Score three months post-surgery (p<0.001), rehabilitation exercises, hospital costs, postoperative hospital stay, patient satisfaction, and postoperative pain (p<0.05). Conclusions: Implementing the ERAS program for total hip replacement procedures helps lower hospital costs, improve patient satisfaction, reduce postoperative pain, enhance hip function, and shorten hospital stays in Can Tho and throughout Vietnam.