The Clinical Application Research About Bone Grafting Combined With Xianlinggubao Capsule And Acupuncture For The Treatment Of The Delay Of Fracture Healing And Fracture Nonunion

ObjectivesDelayed union or nonunion of bone fracture is one of the major complications of fractures, and orthopedic clinical common diseases. Delayed fracture healing is a fracture after clinical treatment, surpasses the normal fracture healing time range still fails to form bone healing, X display fracture callus growth, mild decalcification, the fracture line is clear, but no bone sclerosis performance. Delayed fracture healing in treatment more difficult, if handled improperly will eventually develop fracture nonunion. Such as excessive traction, rude or repeated manipulation, inadequate reduction, internal and external fixation for unstable fracture, soft tissue embedding, poor blood supply, osteoporosis, operation injury periosteum, medullary cavity obstruction, peripheral soft tissue damage or infection, malnutrition, physical weakness and other reasons can cause. While the lower segments of tibia fractures because of its special anatomical causes, clinical less prone to nonunion and delayed union of fractures. Now commonly used in the clinic treatment is open reduction and internal fixation and bone graft. The combination of traditional Chinese and Western medicine oral Xianlinggubao capsule combined with western medicine and bone grafting combined with acupuncture therapy in the treatment of distal tibial nonunion and delayed union of fractures. Through the observation of the clinical curative effect treatment method, for the treatment of delayed union or nonunion of bone fracture with associated clinical suggestion and application based on.MethodsThis study based on the case inclusion criteria and exclusion criteria, selection of Wuhan City Department of orthopedics hospital in33cases of distal tibial fracture delayed union or nonunion of patients, the last patients admitted in time for the March,2011. According to the sequence of patients, all the patients were randomly divided into treatment group, control group1and control group2.1controls were simply given western surgical operation treatment; control group2given operation treatment combined with oral Xianlinggubao capsule, the medicine composition in Epimedium as main drug, with the teasel, psoralen, digitalis, Zhimu, Salvia miltiorrhiza, have nourishing the liver and kidney, invigorating blood circulation, strengthening tendons and bones, promoting fracture healing efficacy in the treatment group operation; on the basis of treatment given oral Xianlinggubao capsule combined with acupuncture therapy, acupuncture can dredge main and collateral channels, balance yin and Yang, strengthening the therapeutic effect of Fuzheng Quxie. The above operation by the same group of high qualification of attending and older physicians completed, three groups were treated for3months. Reference fracture healing, after3,6, and9months on X-ray, observed after grafting grafting bone absorption, bone regeneration, callus formation, and in the light of Johner-Wruhs standard as well as the relevant research literature, curative effect. Contrast observation of clinical healing time after treatment and comprehensive efficacy, and safety assessment.Application of SPSS17. Osoftware to establish database, measurement data using the mean±standard deviation (x±s), group by paired t test, groups were compared with single factor analysis of variance, count data using x2test.Results1. The clinical healing time:the treatment group (3.9±0.6) months, the control group1was (5.1±0.6)months, the control group2was (4.3±0.6) months. In treatment group than in control group two clinical healing time is short; and2control group than in the control group lclinical healing time is short; and the treatment groups compared to reference the average healing time is short, the difference was statistically significant(P<0.05).2. The clinical comprehensive therapeutic effect:the effect of the treatment group was excellent in6cases, good in3cases, in1cases, and poor in1cases, the total effective rate was90.9%; the control group loutcome was excellent in3cases, good in5cases, in1cases, and poor in2cases, the total effective rate was81.8%, control group2and eliminated in1, curative effect in4cases, good in3cases, in2cases, and poor in1cases, the total effective rate was90%. The comprehensive curative effect in treatment group than in control group and two; control group2was better than the control group1, the difference was statistically significant(P<0.05).ConclusionsIn bone grafting on the basis of oral Xianlinggubao capsule and acupuncture therapy in the treatment of distal tibial nonunion and delayed union of fractures, healing time is short, comprehensive effect.Operation treatment of Western medicine can be thoroughly to cleanse the fracture end, and simultaneous correction of angular deformity and eliminate the adverse fracture healing of the inner environment of objective factors, and postoperative oral have nourishing the liver and kidney, invigorating blood circulation, strong gluten Zhuanggu effect of Xianlinggubao capsule, dredge main and collateral channels and acupuncture therapy, balance yin and Yang, nourishing the righting, promote fracture healing. This method of treatment with combination of TCM and Western medicine WM operation, both played the advantage, and the use of Chinese medicine and acupuncture specialty, the advantage is complementary, can not only avoid the two operation the pain, and the cost is reasonable, has more obvious advantage than the pure western medicine treatment, operation more clinical significance.