ABSTRACT
BACKGROUND: Traditional Chinese medicine (TCM) has a long history of preventing and treating postmenopausal osteoporosis. With the social development, research in relevant fields is gradually developed. However, there are few analysis and systematic reviews regarding publications, core authors, and research strength in this field. OBJECTIVE: Using visualization method of CiteSpace knowledge map to analyze the relevant literature about prevention and treatment of postmenopausal osteoporosis with TCM, to understand the development, research hot spots and trend of this field, and to offer evidence and advice for the subsequent development. METHODS: The relevant literature about prevention and treatment of postmenopausal osteoporosis with TCM (1993-2019) was retrieved from CNKI and exported in Refworks format. We analyzed the annual number of papers published, scientific research funding, and high-frequency cited literature. CiteSpace V software was used to create knowledge maps of the authors, research institutions and keywords, for visualization analysis. RESULTS AND CONCLUSION: A total of 453 articles were included. The research of this field started from 1993 and was gradually addressed. Journal articles were the main form of research literature in this field. Natural Science Foundation of China was the most financial support. There were 12 core authors in this field. Zheng Hongxin, Liang Wenna, and Ge Jianrong were the main researchers who established their own research team. The most important research institutions included Orthopaedic Hospital Affiliated to Guangzhou University of Chinese Medicine and Liaoning University of TCM. Nine typical clusters of keywords were formed and there was a shift in research direction. To conclude, the research on the prevention and treatment of postmenopausal osteoporosis with TCM have been developed for over 20 years and is still on the rise with the formation of multiple research forces and research themes. It is expected to promote and boom the development of TCM by integrating the research of TCM into national development strategies, by strengthening cooperation between regions and institutions, and by exploiting the characteristics of TCM.
ABSTRACT
BACKGROUND: Elastic intramedullary nail is commonly used in the treatment of fractures of children, but few studies concern the elastic intramedullary nail for treating fractures in adults. OBJECTIVE: To investigate the repair effect of elastic intramedullary nail in the treatment of 22-A fracture in forearm of adults. METHODS: From January 2015 to April 2016, a total of 21 adult patients with the 22-A fracture (35 fractures) were treated with manipulative reduction and elastic intramedullary nail fixation in the First Affiliated Hospital of Guangzhou University of Chinese Medicine. The follow-up time was 12-18 months. Radiographs were taken and the guidance of the limb function training was given at regular intervals. The Andserson scoring system was used to evaluate the patients' forearm limb function. Fracture healing, elbow, wrist joint activity and forearm rotation were recorded. The satisfactory questionnaires were recorded. The patients were divided into three grades as satisfaction, general satisfaction and dissatisfaction; simultaneously, reasons were recorded. RESULTS AND CONCLUSION: (1) The Andserson scoring was satisfactory in 16 cases accounted for 76%, general satisfaction in 3 cases accounted for 14%, dissatisfaction in 2 cases accounted for 10%. (2) Wrist joint activity increased from (172±4)° before the operation to (181±3)° at the end of the follow-up. Elbow joint activity increased from (102±18)° before the operation to (124±13)° at the end of the follow-up. Forearm rotation activity increased from (84±11)° before the operation to (155±13)° at the end of the follow-up (P < 0.05). (3) In the follow-up of the 21 patients, 13 patients were satisfied with the result of surgery; 5 patients were generally satisfied; 2 patients were dissatisfied because the limited limb functions; and 1 patient was dissatisfied because of the nail irritability; the dissatisfaction rate accounted for 14%. (4) Elastic intramedullary nail can obtain affirmative effect in the treatment of adult 22-A fracture of the forearm; and clinical application should be based on the type of fracture.