Clinical study on the treatment of osteoporotic distal radius fractures by Guo's Bone setting combined with Huoluo Gukang pills
Objective To observe the clinical effect of Guos Bone Setting combined with Huoluo Gu-kang pills in the treatment of osteoporotic distal radius fracture.Methods A total of 86 patients with osteopo-rotic distal radius fracture admitted to our hospital from March 2021 to February 2023 were divided into the study group(with even serial number)and the control group(with odd serial number)according to the order of treatment,with 43 cases in each group.The study group was treated with Guo's bone setting manipulative reduction combined with Huoluo Gukang pill,and the control group was treated with Guo's bone setting ma-nipulative reduction combined with Calci D3.Imaging indexes,pain status[visual analogue scale(VAS)score],recovery time,bone mineral density and incidence of adverse reactions were compared between the two groups.Results There were no significant differences in distal radial palmar angle,ulnar deviation degree,ra-dius height,and VAS score between two groups before treatment and on the day of reduction(P>0.05).The distal palmar angle,ulnar angle,and radius height of the study group were significantly increased at three months after reduction,while those of the control group were significantly decreased,with statistical signifi-cance(P<0.05).After two weeks,one,and three months after manual reduction,the distal palmar angle and ulnar deviation of the radius in the study group were significantly higher than those in the control group,and the radius height was significantly higher than that in the control group,with statistical significance(P<0.05).Compared with the day of reduction,VAS scores of two groups were significantly decreased at two weeks and one month after reduction,and VAS scores of two weeks and one month after reduction in the study group were significantly lower than the control group,with statistical significance(P<0.05).The disap-pearance time of swelling,ecchymosis,and clinical healing time of fracture in the study group were significant-ly shorter than those in the control group,with statistical significance(P<0.05).There was no significant difference in bone mineral density of greater trochanteric,femoral neck and Ward triangle between two groups before treatment(P>0.05).Bone mineral density in all parts of the study group was significantly higher than that in the control group after treatment,and the differences were statistically significant(P<0.05).The inci-dence of adverse reactions in the study group was significantly lower than that in the control group,with sta-tistical significance(P<0.05).Conclusion Guo's Bone setting combined with Huoluo Gukang pills can effec-tively improve the rehabilitation effect of osteoporotic distal radius fracture,shorten the rehabilitation time and improve bone mineral density without obvious adverse reactions,and it is a safe and effective treatment.
Guo's bone settingHuoluo Gukang pillsOsteoporosisFracture of the distal radius