With the aging population on the rise, hip fractures in elderly individuals are becoming increasingly frequent. Currently, these fractures have become a globally recognized health challenge, significantly affecting patients' quality of life, imposing a heavy burden on the economy, and placing immense pressure on limited medical resources [1]. According to predictions, by 2050, the global number of hip fracture patients is expected to rise annually to approximately 6 million cases, with elderly individuals accounting for 87 % of the total [2]. As people age, physiological functions gradually decline, often accompanied by osteoporosis and multiple internal medical conditions. These factors pose significant challenges during perioperative treatment for these patients.

Effective perioperative management is crucial for elderly patients with hip fractures, as it directly influences postoperative recovery, reduces complications, lowers mortality and disability rates, and enhances patients' ability to live independently and improve their quality of life. However, the unique characteristics of elderly patients create challenges in perioperative management. These challenges include comprehensive assessment and management of multiple systemic diseases, precise timing of surgery, effective pain control, nutritional support, and the proper implementation of early rehabilitation training—all requiring meticulous consideration and planning.

Enhanced Recovery After Surgery (ERAS) was first introduced by Professor Kehlet [3]. This approach involves optimizing perioperative protocols to control stress responses caused by surgery, facilitating rapid postoperative recovery, and reducing hospital stays. ERAS has demonstrated excellent clinical outcomes in various surgical fields (e.g., colorectal surgery and orthopedic surgery). Although relevant ERAS guidelines based on evidence-based medical evidence have been officially revised in China [4], certain weak points, such as comprehensive perioperative pain management, remain. Thus, implementing ERAS still requires interdisciplinary collaboration.

The Multidisciplinary Treatment (MDT) model is a comprehensive diagnostic and treatment approach designed for complex conditions, integrating expertise and skills from various disciplines, including orthopedics, anesthesiology, cardiology, endocrinology, and rehabilitation medicine. The MDT model primarily focuses on reducing hospital stays, implementing multimodal interventions, expediting surgery, and minimizing postoperative complications [5]. It has shown positive outcomes in treating acute stroke patients [6], surgical procedures [7], and managing diabetic wounds [8].

Primary hospitals play a critical role in China's healthcare system and bear significant responsibility in managing elderly patients with hip fractures. However, primary hospitals face challenges such as relatively limited medical resources, a shortage of specialized personnel, and incomplete discipline development. These issues make implementing the ERAS concept and MDT model challenging. Nonetheless, integrating the ERAS concept with the MDT model into perioperative management at primary hospitals is of great significance for improving perioperative management for elderly patients with hip fractures, reducing postoperative complications, shortening hospital stays, and enhancing overall treatment outcomes. This study retrospectively analyzed 120 elderly hip fracture patients treated at our hospital between October 2020 and October 2024 to explore the impact of the ERAS-based MDT model on perioperative management indicators in primary hospitals.