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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2018-08
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A clinical study of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang(补肾活血汤) for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged

LIU Danqiong;Benxi Hospital of Traditional Chinese Medicine;  
Objective: To observe the clinical curative effects of manipulative reduction and fir-bark splint external fixation combined with oral application of Bushen Huoxue Tang( 补肾活血汤,BSHXT) for treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged. Methods: Sixty aged patients with kidney-deficiency-blood-stasis-type proximal humeral fractures enrolled in the study were divided into manipulative reduction external fixation group and open reduction internal fixation group according to their wishes,30 cases in each group. The patients in manipulative reduction external fixation group were treated with manipulative reduction and fir-bark splint external fixation combined with oral application of BSHXT,while the patients in open reduction internal fixation group were treated with open reduction and steel plate internal fixation. The BSHXT was taken for 3 weeks,one dose a day by 3 times,100 m L at a time. The fracture healing and the Constant-Murley shoulder function score at last follow-up were compared between the 2 groups.Results: All patients in the 2 groups were followed up for 8-30 months with a median of 12 months,and all fractures healed in the 2 groups. The fracture healing time was shorter in manipulative reduction external fixation group compared to open reduction internal fixation group( 8. 90 +/-1. 63 vs 10. 47 +/-1. 89 weeks,t =-3. 443,P = 0. 001). There was no statistical difference in Constant-Murley shoulder pain scores,activity of daily living( ADL) scores,shoulder range of motion( ROM) scores,muscle strength scores and total scores between the2 groups at last follow-up( 15. 40 +/-1. 63 vs 16. 10 +/-1. 79 points,t =-1. 584,P = 0. 119; 17. 80 +/-1. 63 vs 16. 77 +/-3. 47 points,t = 1. 476,P = 0. 145; 34. 37 +/-4. 38 vs 35. 50 +/-5. 85 points,t =-0. 849,P = 0. 399; 17. 73 +/-3. 27 vs 18. 23 +/-3. 36 points,t =-0. 584,P = 0. 561; 83. 33 +/-6. 64 vs 85. 70 +/-6. 24 points,t =-1. 423,P = 0. 160). Conclusion: Therapy of manipulative reduction and fir-bark splint external fixation combined with oral application of BSHXT is similar to therapy of open reduction and steel plate internal fixation in the clinical curative effects in treatment of kidney-deficiency-blood-stasis-type proximal humeral fractures in the aged,while the fracture healing time of the former is shorter than that of the latter,so it is worthy of popularizing in clinic.
【CateGory Index】: R683.41
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