Clinical Research
Application of enhanced recovery after surgery principles in treating long bone defect with free fibula graft
Zheng Wang, Aixi Yu, Baiwen Qi, Weidong Xiao, Yong Zhao, Zonghuan Li
Published 2019-10-25
Cite as Chin J Microsurg, 2019, 42(5): 463-466. DOI: 10.3760/cma.j.issn.1001-2036.2019.05.011
Abstract
ObjectiveTo summarize the application of enhanced recovery after surgery (ERAS) principles in treating long bone defect with free fibula graft (FVFG) .
MethodsFrom 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.
ResultsThe 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%.
ConclusionThe 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
Contributor Information
Zheng Wang
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Aixi Yu
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Center of Wuhan Clinical Medical Research of Microsurgery, Wuhan 430071, China
Baiwen Qi
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Center of Wuhan Clinical Medical Research of Microsurgery, Wuhan 430071, China
Weidong Xiao
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Yong Zhao
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Zonghuan Li
Department of Trauma and Micro-orthopaedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
