Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study

• Published in: International journal of orthopaedic and trauma nursing 2024-05, Vol.53, p.101051, Article 101051
• Main Authors: Yi, Yinzhi, Dong, Lin, Zhang, Ni, Mo, Shasha, Xie, Yonghong, Hu, Xiongke
• Format: Article
• Language: English
• Subjects: Complication; Congenital pseudarthrosis of tibia; Fast-track surgery; Nursing; Postoperative recovery
• ISSN: 1878-1241
• DOI: 10.1016/j.ijotn.2023.101051

The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia. 82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted. The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P