To explore the application of perioperative multimodal analgesia in the treatment of intertrochanteric fractures in the elderly under the guidance of the concept of accelerated rehabilitation surgery.

A retrospective study of 45 elderly (≥80 years old) femoral intertrochanteric fractures who underwent PFNA surgery in our department from June 2016 to June 2017.There were 19 males (42.2%) and 26 females (57.8%) with an average age of (81.3±1.0) years. All patients underwent closed reduction PFNA within 48 h after fracture. Internal fixation was performed and a multimodal analgesia protocol was used to intervene. The Jane McGill pain questionnaire and the Harris hip function score were used to observe pain relief and hip function recovery.

All patients were evaluated by the simple McGill Pain Questionnaire and the Harris Hip Function Score. Patients were followed up for 3-14 months with an average of (9.0±2.0) months. The final follow-up showed 39 cases of painless of the simple McGill pain questionnaire, 6 cases of mild pain, 0 case of moderate, 0 case of severe, the rate of painlessness was about 86.67%. Harris hip function score were excellent in 25 cases, 13 cases were good, 7 cases were fair, and 0 case were poor. The excellent and good rate was about 84.44%.

Perioperative multi-mode analgesia applied to the elderly patients with intertrochanteric fractures is beneficial to reduce the negative effects of traumatic stress caused by post-fracture pain and accelerate the postoperative recovery process.