| Objective : To observe and discuss the clinical effects of traditional Chinese medicine fumigation combination with manipulation release and functional exercise to treat dysfunction around the knee joint fracture.Methods:This research adopted randomized, parallel-group design principles. The object of study were the outpatient or hospitalization patients of orthopedics department in Xiang Yang Hospital of Traditional Chinese Medicine from June 2013 to January 2014, because of knee joint around fractures proceeded internal fixation surgery(surgery including steel plate and screw internal fixation intramedullary nail fixation and patella plate and wire tension band). Around 42 cases of knee joint will meet the inclusion criteria and exclusion standard fracture postoperative dysfunction of patients were randomly divided to the treat group of 21 cases, 21 cases of the control group.The control group gave CPM with functional exercise, on the basis of functional exercise, the control group combine with traditional Chinese medicine fumigation with manipulation release treatment, treatment for 15 days. Respectively before and after treatment for 1 months, half a year,1 year after treatment, measure and record joint largest passive activity, and using VAS score method to evaluate the degree of pain during passive activity maximum buckling; 1 year after treatment, using HSS knee scoring criteria to evaluate whole clinical curative effect. All the experimental data using SPSS 22.0 software for statistical analysis.Results:1 Two groups of patients after 1 month, 6 months, 1 year after treatment was also had improved the knee passive mobility, with statistically significant difference(P<0.05); Two groups of patients compared the knee passive activity in the treatment of 6 months, 1 year and 1 month after treatment, without statistical significant difference(P>0.05); Compared with the control group, treatment for 1months, half a year, 1 years,the treat group improve more obviously(P<0.05);2 In the two groups, after treatment in patients with in one month, half a year, 1 year’s knee joint passive activity VAS score was improved(P<0.05); Two groups of patients in the treatment of 6 months, 1 year after treatment and 1 month after treatment knee VAS score than passive activity(P<0.05); With the control group after treatment of one month, half a year, 1 year’s knee passive activity VAS score, the treatment group improved more obviously(P<0.05);3 1 year after treatment, the clinical treatment group’s total effective rate was 95.24%, control group’s clinical total effective rate was 66.67%, Comparison of the effect of the 2 group, with statistical significant different(P<0.05).Conclusion: 1 Traditional Chinese medicine fumigation combination with manipulation release and functional exercise can obviously improve the knee joint fracture around the knee joint activity. Andbetter than that of CPM with functional exercise; The curative effect on the improvement of the joint activity focused on 1 month;2 Traditional Chinese medicine fumigation combination with manipulation release and functional exercise can obviously improve knee pain score with maximum buckling degree, and better than that of CPM with functional exercise;3 Traditional Chinese medicine fumigation combination with manipulation release and functional exercise to treat dysfunction around the knee joint Fracture has good clinical effects. |
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