Under The Guidance Of The Theory Of "Equal Emphasis On Muscles And Bones",to Explore The Curative Effect Of Fumigation With Traditional Chinese Medicine On The Rehabilitation Of The Elbow After The Horrific Triad

Objective: To observe the clinical effect of our own Chinese medicine external washing prescription Huoxue Zhitong Fumigative lotion on the rehabilitation of elbow joint after terror triad operation,and to provide clinical reference for improving elbow joint function after terror triad operation.Methods: Thirty patients in the Department of Orthopedics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine from June2020 to September 2022 who met the diagnostic criteria for terror triad were randomly divided into treatment group and control group,with 15 cases in each group.All patients in the two groups received surgical treatment and routine functional exercise after surgery.The surgical treatment strategies and principles followed the standard surgical protocol formulated by Mckee in2005.Patients in the control group were instructed to undergo routine elbow rehabilitation exercise and drug therapy after surgery.Patients in the treatment group received the same treatment plan as the control group,and were given Huoxue Zhitong powder external washing treatment with traditional Chinese medicine 3 weeks after surgery on the premise that the incision healing was good and there was no obvious taboo of fumigation with traditional Chinese medicine on the elbow skin.The treatment course was 1month,for a total of 3 courses.Patients in the two groups were followed up at1 month,3 months and 6 months after surgery,and observation indexes were recorded,including flexion and extension rotation motion of elbow,Mayo elbow function score and postoperative complication rate.Mayo elbow function score includes pain(45 points),motor function(20 points),stability(10 points),and daily activities(25 points).The full score is 0 to 100,≥90 is excellent,75 to 89 is good,60 to 74 is medium,< 60 is poor,The higher the score,the better the recovery of elbow function.Results:1.There was no significant difference in the general baseline data,preoperative flexion rotation motion of the elbow and preoperative Mayo elbow function score between the two groups(P < 0.05),indicating comparability between the two groups.2.Comparison of flexion and rotatory joint motion between the two groups before and after surgery showed statistically significant differences between the two groups at each time point after surgery and before surgery(P< 0.05),which were higher than before surgery;The comparison between the two groups at each time point after surgery showed no statistical significance1 month after surgery(P > 0.05),while the difference between the two groups was statistically significant 3 months and 6 months after surgery(P < 0.05),and the treatment group was higher than the control group.3.Four dimensions of Mayo elbow joint function score were compared between the two groups.Intra-group comparison showed that the differences between the treatment group and the preoperative group at each time point after surgery were statistically significant(P < 0.05),which were higher than the preoperative group;the control group(pain,stability)had statistically significant differences 3 months and 6 months after surgery(P < 0.05),which were higher than the preoperative group.The control group(motor function,daily activities)had statistically significant differences at all time points after surgery and before surgery(P < 0.05),and were higher than before surgery.Comparison between groups(pain,motor function,daily life)3 months and 6months after surgery showed statistically significant differences between the two groups(P < 0.05),according to the specific mean size,the treatment group was higher than the control group,in terms of stability,1 month,3months and 6 months after surgery,the difference between the two groups was statistically significant(P < 0.05),according to the specific mean size,Treatment group was higher than control group.4.Comparison of the excellent and good rate of Mayo elbow joint function score between the two groups showed that the difference between the two groups was statistically significant(P < 0.05),and the treatment group(80%)was higher than the control group(66.7%).5.Comparison of complications between the two groups showed that there was a statistically significant difference in the incidence of complications between the two groups(P < 0.05),and the incidence of complications in the treatment group(13.3%)was significantly lower than that in the control group(26.7%).Conclusion: The use of Huoxue analgesic fumigation in our hospital for the postoperative patients with elbow terror triad,compared with the postoperative patients without traditional Chinese medicine fumigation,can achieve better results in improving elbow flexion rotation motion,reducing pain,reducing incidence.