Before The Femoral Bow Angle In PFNA Treatment Of Clinical Significance With Taohongsiwu Decoction On The Postoperative Rehabilitation Efflcacy

Objective：Observing femoral bow Angle of proximal femur before operation andthe influence of Chinese traditional medicine taohongsiwu decoction on the effect ofproximal femoral surgery recovery.Comparing the method and the clinical curative effectof conventional treatment, and the three groups of intraoperative and postoperativecomprehensive function in patients with clinical observation indexes were analyzed.Methods：From June2012to January2012,100patients with surgical treatment offemoral fractures between rotor.Preoperative random in three groups, conventionalsurgery group (normal group),38cases take regular PFNA surgery.Preoperative bowAngle before measuring femoral surgery group (Measuring group),30cases take beforepreoperative measuring femoral bow Angle parameter as a routine preoperative PFNAoperation plan.Preoperative bow Angle before measuring femoral surgery withpostoperative oral Chinese medicine taohongsiwu decoction group (Measurement plusChinese medicine)32cases.All cases are under epidural anesthesia, closed reduction inorthopedic traction bed traction, PFNA internal fixation, observation of intraoperativeinsert to the difficulty of the intramedullary nail, postoperative orthopaedic normalprocessing, add Chinese traditional medicine group after the second day of oraltaohongsiwu decoction, oral, three times a day before meals a week for a period oftreatment, the last two sessions.Observed in patients with symptoms of leg pain, swelling,helped crutch walk after a week.Regular follow-up after surgery, the second day,3months after X ray film review, parallel evaluation function of patients withpostoperative Harris.Results：100patients were successfully completed surgery.Eight patients in routinegroup, intraoperative appear first nail is not smooth.Measure and measure the Chinesemedicine group of bow Angle guidance before surgery patients, intraoperativeintramedullary nail insertion process smoothly.Postoperative day take satisfaction, X rayfilm and shown fracture internal fixation in good position,3months review X ray film,all cases were osseous healing.Postoperative Harris score was, the normal group, themeasurement and measurement plus Chinese medicine group contrast three groups, the difference was statistically significant (P <0.05).Three groups of cases does not appearthe spiral blade cutting head, the surgery complication such as lower extremity deep veinthrombosis and fever.Thigh pain phenomenon in a conventional surgery group7cases,measurement and measuring with traditional Chinese medicine group does not appear thethigh pain patients, routine postoperative swelling phenomenon, compared with othertwo group obviously.Conclusion：Femur with bow Angle increases with increasing patient age, beforethe femoral bow Angle can choose the guide screw type before the use of proximal femurintramedullary nailing, make operation process smoothly.Before the preoperativemeasuring femoral bow Angle is have a positive effect to the operationsmoothly.Postoperative supplemented by traditional Chinese medicine taohongsiwudecoction promoting blood circulation to remove blood stasis, nourishing bloodenriching blood, improving local blood oxygen and peripheral microcirculation,significantly reduce the postoperative swelling pain and complications.Experiment showsthat traditional Chinese medicine taohongsiwu decoction for fractures of postoperativerecovery have a positive effect.