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Objective To explore the therapeutic efficacy of modified Taohong Siwu Decoctio n(TSD) combined with limited internal fixation and external fixation for the treatment of tibial plateau fracture of Schatzker type Ⅴand Ⅵ. M ethods A total of 31 cases of tibial plateau fractures of Schatzker type Ⅴ and Ⅵ treated with TSD orally combined with limited internal fixation and external fixation were enrolled into the study. Follow-up was carried out for the evaluation of therapeutic effect and postoperative complications. Results All of the cases received follow-up for 6 months to 3 years. According to Merchant scoring criteria, the therapeutic effect was excellent for 15 cases, good for 12 cases, acceptable for 3 cases and inferior for one case, with the excellent and good rate being 87.1%. One case had pin tract infection, and then was cured after symptomatic treatment. Conclusion For tibial plateau fracture of Schatzker typeⅤandⅥwith unsatisfactory skin state, we can perform limited internal fixation and external fixation to take the place of strong steel plate fixation with extensive exposure for surgical treatment, and then give postoperative oral use of TSD, which will be a safe and effective therapy for the fracture by promoting the relief of the clinical symptoms and signs of early fracture.
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0.05).But in the reported 6 groups patients,the fatality rate in 5 groups was higher that in the 16 patients,and the difference(P
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【Objective】To observe the therapeutic effect of interlocking intramedullary nailing combined with oral use and washing with herbal medicine for fracture of lower section of femur.【Methods】Thirty-six patients with fracture of lower section of femur received interlocking intramedullary nailing and then were treated by oral use and washing with herbal medicine subjecting to the early,middle and late stages of fracture.【Results】The fracture was healing in all of the 36 patients,the cure rate being 100%.Of 36 patients,26 was cured within 6～9 months,and 10 within 9～11 months.The average time for fracture healing was 30 weeks.【Conclusion】Interlocking intramedullary nailing combined with oral use and washing with herbal medicine can promote the fracture healing and reduce complications,and is beneficial to the recovery of knee joint function in treating fracture of lower section of femur.