Clinical Efficacy of Alendronate Sodium Vitamin D3 Combined with Traditional Chinese Medicine Manipulation in Treatment of Localized Osteoporosis Secondary to Chronic Ankle Injury
Objective To observe the clinical efficacy of alendronate vitamin D3 combined with traditional Chinese medicine(TCM)manipulation treating bone mineral density changes in postoperative patients with chronic ankle injuries.Method Sixty patients who were still in pain after 3 months of conservative treatment for ankle injuries were selected,and all of them were ran-domly divided into a control group and a treatment group after repairing the lateral ligament of the ankle with modified Broström-Gould technique,and the treatment group was divided into manipulation treatment group and combined treatment group.In the control group,the patients were given calcium supplements and regular rehabilitation exercises.In the manipulation treatment group,TCM manipulation was added on the basis of the control group,and in the combined therapy group,alendronate sodium and vitamin D3 were added orally on the basis of the manipulation treatment group.Lower limb muscle strength evaluation was col-lected before treatment and 1,3 and 6 months after treatment,and local bone mineral density of the ankle joint,and American Or-thopedic Foot and Ankle Society(AOFAS)ankle-hindfoot score were collected before treatment,3 and 6 months after treatment.The clinical efficacy of TCM was evaluated after 6 months of treatment.Results After statistical treatment,the differences in total effective rates between the manipulation treatment group and the control group,and between the combined therapy group and the control group were statistically significant(P＜0.05),and the AOFAS scores,local bone mineral density of the ankle joints and the improvement of muscle capacity of the lower extremities of the patients in the manipulation treatment group and the combined therapy group were significantly better than those of the control group after 3 and 6 months of treatment(P＜0.05),and at the same time,the patients in the combined therapy group had better pain relief and AOFAS scores than those of the control group.At the same time,the pain relief and AOFAS score of the patients in the combined treatment group were better than those in the manipulation group(P＜0.05).Conclusion Alendronate Vitamin D3 combined with TCM manipulation treatment can improve the clinical symptoms of local pain in postoperative patients with chronic ankle injuries,significantly improve the growth of local bone mineral density and promote the recovery of muscle function on the affected side,and the clinical efficacy of the treatment is ex-act.It is worthy of popularization and application.
chronic ankle injurybone mineral densityalendronate vitamin D3TCM manipulation
万方数据
维普
