To analyze the clinical efficacy of percutaneous screw fixation technique in the treatment of special acetabular fractures based on ERAS concept

Abstract

Abstract [Objective]:To evaluate the clinical efficacy of ERAS concept guided percutaneous screw fixation technique in the treatment of special acetabular fractures, Special acetabular fractures refer to young adults with no or small displacement (displacement <5mm). [Methods]:Clinical data of 30 patients with special acetabular fractures treated by percutaneous channel screw technique in our hospital from October 2018 to December 2023 were retrospectively analyzed. 12 male and 18 female, average age of 44.2 ± 5.16 years, all patients implemented the ERAS concept, combined with percutaneous screw channel minimally invasive fixation technology. The operation time, intraoperative blood loss, X-ray exposure times, preoperative and postoperative NRS (numerical rating scale) scores, painless rehabilitation exercise time, non-weight-bearing ambulation time, length of hospital stay, and full weight-bearing time were statistically analyzed. The Merle d 'Aubigne & Postel scoring system was used to evaluate the function of the affected hip at 3 months after operation and at the last follow-up. [Results]: The follow-up time of patients is 25.10 ± 5.02 months. The operation time was 108.33 ± 17.09 minutes, the intraoperative blood loss was 56.13 ± 11.62ml, and the intraoperative X-ray exposure times were 38.10 ± 4.44 times/min. The mean NRS score decreased by 6.37 ± 1.35 points. The painless recovery time was 3.13 ± 1.48 days, the non-weight-bearing activity time was 3.63 ± 0.89d and the length of hospital stay was 6.20 ± 1.37d. The mean time of full weight bearing was 10.47 ± 1.31 weeks. At the last follow-up, Merle d 'Aubigne & Postel scores were excellent in 13 cases and good in 17 cases. [conclusion]: Percutaneous screw fixation technique for the treatment of special acetabular fractures has the advantages of short operation time, less intraoperative blood loss, fast painless recovery time, early non weight-bearing ambulation time and so on. It allows patients to recover quickly, conforms to the concept of eras, reduces social burden, and is worthy of clinical application.