ABSTRACT
Objective To observe the effect of Guxi Recipe 2 combined with joint loosening training for the treatment of postoperative ankylosis in tibial plateau fracture patients.Methods Thirty-two patients with postoperative ankylosis had active exercise combined with small-range continuous passive motion(CPM) 2 weeks after operation,and received steaming and washing with Guxi Recipe 2(mainly composed of Herba Menthae,Radix Saposhnikoviae,fermented soybean,Rhizoma et Radix Notopterygii,Ramulus Cinnamomi,Radix Clematidis,Radix Pterospermi Heterophylli,Radix Angelicae Pubescentis,Olibanum,Cortex Acanthopanacis,and Myrrha) combined with CPM and manipulation for loosening joint 3 weeks after operation.The function of knee joint was assayed with the criteria of knee joint function evaluation issued by the Hospital for Special Surgery(HSS) 6 and 12 months after operation.Results The results of knee joint function scoring showed that the therapeutic effect was excellent in 21 patients,good in 8,average in 3,and the excellent and good rate was 90.6%.Conclusion Guxi Recipe 2 combined with joint loosening training is effective on the recovery of knee joint function of tibial plateau fracture patients with postoperative ankylosis.
ABSTRACT
Objective The correlation of union of femoral shaft fracture with selection of therapies was analyzed to explore the importance of protecting the periosteum and soft tissue,and to observe the influence of Chinese medicine.Methods A retrospective study was carried out in 478 femoral shaft fracture patients hospitalized in Zhongshan Hospital of TCM from 2001 to 2008.According to the selection of therapies,the patients were separated into conservative group(N=198) and operative group(N=280).The conservative group was then divided into two subgroups: conservative treatment alone(N=105),and conservative treatment combined with oral use of Chinese medicine(N=93).The operative group was divided into three subgroups: open reduction and fixation with dynamic compression plate(N=113),open reduction and fixation with limited contact-dynamic compression plate(N=98),and closed reduction and fixation with intramedullary nail(N=69).The correlation of union of femoral shaft fracture and selection of therapies was analyzed.Results The union rate in the conservative group was higher than that of the operative group(P