Lag Screw Hollow Fumigation Treatment With Chinese Medicine Fresh Scaphoid Fractures Research

Objective:This study was designed to observe the hollow with lag screw fixation of fresh Chinese Medicine Steaming treatment of scaphoid bone fracture treatment.Methods:All cases of the Department in March 2007-2009 in February Heilongjiang University of Traditional Chinese Medicine First Affiliated Hospital of the Second Section of bone and bone Harbin a fifth hospital wards,according to the standard cases and case exclusion criteria,select 60 cases of fresh wrist scaphoid fracture were randomly divided into A group(treatment group) hollow lag screw fixation Fumigation treatment with Chinese medicine and 30 cases of group B(control group) hollow lag screw fixation for the treatment of 30 cases of the program.Treatment group and control group of patients with gender,age,distribution of dominant hand, Krimmer type,duration,as statistical testing,no significant difference(P＞0.05),comparable.Surgical treatment the treatment group:All cases were performed within the hollow lag screw fixation, postoperative patients with fixed plaster hand care outreach to the thumb,wrist flexion of 15 degrees,side-foot a little bit,to be a wound healing medicine later smoked washing treatment,after 6-8 weeks,to remove gypsum film buff that bone growth,fracture lines blurred,further functional exercise.Surgical treatment control grouP:all cases are hollow line lag screw fixation,postoperative patients with fixed plaster hand care outreach to the thumb,wrist flexion of 15 degrees,ulnar deviation slightly 6-8 weeks,to remove gypsum show films silly bone growth,fracture lines blurred,further functional exercise.From the pain,wrist range of motion(flexion and extension,torsion partial foot,pronation/supination),wrist strength,the use of patients with contralateral hand to score excellent,good,satisfactory and poor in four grades.With an objective evaluation of hand function Krimmer wrist score to assess functional.All cases 1 week after treatment,2 weeks,3 weeks,4 weeks to review,after one month follow-up,including the patient's follow-up visit,telephone,survey,etc.,is scheduled to complete the collection of observed data.SPSS16.0 and then through statistical analysis,the two groups before and after treatment with t test Krimmer score.Test whether there is a significant indicator of differences in treatment in order to compare the advantages and disadvantages of the two,and finally to make further analysis and conclusions.Results:The treatment group and control group after treatment of the indicators have shown improvement and obvious difference between before and after treatment(P＜0.05);two cases of apparent differences in clinical efficacy(P＜0.05);two cases of apparent differences in time to remove gypsum(P＜0.05);two cases of apparent differences in recovery time(P＜0.05).Conclusion:The lag screw fixation of hollow Chinese Medicine Steaming treatment with simple,fixed effects,and external fixation time is short,shorter treatment cycles,and bone nonunion and avascular necrosis of the low incidence of postoperative wrist function well,rapid recovery of patients.Hollow with lag screw fixation Fumigation treatment efficacy of Chinese medicine is better than the control group only line hollow lag screw fixation group treatment programs that lag screw fixation of hollow with Chinese medicine treatment group Washing fresh in the clinical treatment of carpal scaphoid fracture area than the control group have a certain advantage.But not found in the course of any adverse reaction to their treatment of the advantages of larger,it has broad application prospects.