Clinical Study on Manipulative Reduction Combined with Chinese Herbal Fumigation for Internal Fixation of Ulnar and Radial Shaft Fractures
Objective To explore the effects of manipulative reduction combined with Chinese herbal fumiga-tion on fracture healing time,hemorheology,and joint function in patients with internal fixation of ulnar and radial shaft fractures.Methods Retrospectively selecting 102 patients with internal fixation of ulnar and radial shaft fractures as the study subjects,and they were divided into the control group(49 cases)and the study group(53 ca-ses)according to different treatment methods.The control group was treated with manipulative reduction,while the study group was treated with Chinese herbal fumigation on the basis of the control group.Both groups were treated for 6 weeks.The total effective rate,fracture healing time,imaging related indicators(radius height,ulnar deviation angle and palmar inclination angle),wrist joint range of motion,and hemorheological indicators[erythrocyte aggre-gation index(EAI),whole blood viscosity(WBV),hematocrit(HCT)and D-dimer(D-D)]were compared in the two groups.The fracture healing related factors[fibroblast growth factor-2(FGF-2),insulin growth factor-1(IGF-1),and transforming growth factor-β1(TGF-β1)]and the incidence of complications were also compared.Results Af-ter treatment,the total effective rate of the study group was 94.34%,which was higher than that of the control group(77.55%)(P<0.05).The fracture healing time in the study group was shorter than that in the control group(P<0.05).There was no statistically significant difference between the two groups in terms of radius height,ulnar deviation angle,and palmar inclination angle(P>0.05).The wrist extension and flexion of the study group were greater than those of the control group(P all<0.05),while the levels of EAI,WBV,HCT,and D-D in the study group were lower than those in the control group(P all<0.05).The levels of FGF-2,IGF-1,TGF-β1 in the study group were higher than those in the control group(P all<0.05).The total incidence rate of complications in the study group was 1.89%,and there was no statistically significant difference compared to the control group(10.20%)(P>0.05).Conclusion Manipulative reduction combined with Chinese herbal fumigation could improve the wrist range of motion and shorten the fracture healing time in patients with internal fixation of ulnar and radial shaft fractures,which may be related to the improvement of hemorheological indicators and regulating the expres-sion of fracture healing related factors.
ulnar and radial shaft fracturesmanipulative reductionChinese herbal fumigationhemorheologyfracture healing