Therapeutic Efficacy of Anterior-Middle-Posterior Approach Strengthened With ERAS and Internet+ in Elderly Patients With Hip Fractures: A Clinical Analysis.

AIM: This study aims to investigate the therapeutic efficacy of combined anterior-mid-posterior approaches integrated with Enhanced Recovery After Surgery (ERAS) and enhanced management through Internet+ in elderly patients with hip fractures through clinical analysis.

METHODS

This study employed a prospective quasi-experimental design. The research protocol was developed in December 2024, and complete clinical data were collected from the time of patient admission. A total of 166 cases of elderly patients with hip fractures who received surgical treatment in Dongying People's Hospital were selected. Patients who underwent surgical treatment from January to February 2025 were assigned to the control group (n = 90), whereas those receiving surgical treatment from March to April 2025 were designated to the intervention group (n = 76). Conventional diagnosis and treatment approaches were applied to the control group, while the anterior-middle-posterior approach strengthened with ERAS and Internet+ was applied to the intervention group. Between-group comparative analyses were performed for preoperative waiting time, incidence of complications at 3 months after discharge, quality-of-life scores, functional recovery scores, satisfaction, and self-care ability at 1 and 3 months after discharge.

RESULTS

There was a statistically significant difference in preoperative waiting time between the two groups (p < 0.001). At 3 months after discharge, the complication rate in the intervention group was significantly lower than that in the control group (13.16% [10/76] vs 31.11% [28/90]; χ2 = 13.284, p < 0.05). At 1 month and 3 months post-discharge, the intervention group demonstrated significantly higher quality of life scores, functional recovery scores, and self-care abilities compared to the control group (all p < 0.05). Additionally, the overall satisfaction of patients in the intervention group was significantly higher than that of the control group.

CONCLUSIONS

Enhanced with the ERAS concept and Internet+, the anterior-middle-posterior approach shortens preoperative waiting time, reduces complication incidence, improves quality of life, accelerates recovery of hip joint function, and enhances satisfaction levels in elderly patients with hip fractures, showing the potential for clinical applications.

CLINICAL TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR2500095730).