Hello everyone, I am Zhang Peng from the Department of Orthopedics and Traumatology of Traditional Chinese Medicine, in the outpatient clinic, there have been many, many strange phenomena in recent years, more and more fracture patients, many of them have delayed healing or even non-union of fractures!
Whether it's surgery, plates, nails, or splints, many people don't heal as expected.
What I want to talk to you today is about a patient with delayed healing of fractures, he is a middle-aged man, engaged in work is shaved white, it is a more embarrassing age, old and young, originally thought it was a simple fracture of the lower third of the tibia and fibula, at that time it was a steel plate in another hospital, when the doctor told him that it was almost six months to grow almost, and he didn't say anything else, he honestly went back to raise.
During the re-examination, the doctor told him that the growth was a little slow, and the problem was not big, so six months passed, and the doctor told him: You have delayed healing and need a second bone graft.
He quit, not to mention the cost of the second operation, just a fracture during this time, not only can he not work, but the family's food and clothing have not been paid, so he wants to raise it quickly and make money quickly, but the doctor told him such a news.
He wondered if Chinese medicine could be conservatively cured?
found me, and in the communication with me, he directly released a sentence: Doctor, if you let me grow up quickly, I will give you 100,000 yuan.
Through a detailed understanding of his physical condition, it was found that he mainly affected his fracture healing in two aspects.
One is that he himself has a discord in his spleen and stomach, and he is deficient in qi and blood.
Another is that he did not have a timely workout to recover during the period of recuperation.
It was originally the injured position of poor blood vascularity, and I did a surgical plate to hurt blood vascularity for the second time, and I haven't exercised in time to stimulate blood vascularity, and the bones can't get an adequate nutrition, and they will definitely not grow.
Find the factors that affect the delayed healing of his fracture, target administration and develop an exercise program, adhere to it for three months, and the fracture line will basically disappear.
In fact, many times, there are several factors that cause us to delay the healing of fractures, and today I will tell you about it, hoping to help you stay away from the problem of delayed healing of fractures!
1. Poor alignment and alignment of the fracture, for example, when the fracture is fractured, there is no manual correction, and the broken end of the fracture is displaced and angulated, or separated. With limited contact at the broken end, fracture healing is slowed or delayed.
2. Because after the early fixation of the fracture, the degree of fixation is not stable enough, and the fracture has a slight movement during the fixation, such as the loosening of the plaster, or walking on the ground too early when the plaster is fixed, which will also cause poor healing of the fracture.
3. It is related to the location of the fracture, in some parts of the human body, such as the lower end of the tibia, the middle and lower segment fractures or the femoral neck fracture, because the blood at the fracture site itself is relatively small. Fractures in these areas are more likely to have delayed union or nonunion, and are prone to necrosis of the femoral head.
4. There is a big difference in age in terms of healing, for example, a baby's body fracture can heal in three weeks, but an adult's body fracture takes about 4 months. Fractures heal faster in children and longer in older people. Poor health, especially in patients with chronic wasting diseases such as diabetes, tumors, metabolic disorders, etc., has a significantly longer time to heal fractures.
5. Severe soft tissue injury, especially open injury, can immediately injure the muscles and periosteum next to the fracture segment, destroy its blood supply, and affect the healing of the fracture.
6. Infectious fractures, local infection of the body may cause purulent osteomyelitis and soft tissue necrosis, which seriously affects the healing of fractures.
TCM syndrome differentiation and treatment of fracture disease generally adopts the three-stage syndrome differentiation treatment
The first stage is the initial stage, based on the principle of qi and blood circulation, blood stasis and pain relief, mainly using the method of qi and blood stasis, eliminating blood stasis and relieving pain, and clearing heat and cooling blood;
The second stage is the middle stage, which is based on the principle of removing stasis and regenerating new bones, and connecting bones and tendons, mainly using the method of reducing swelling and removing stasis and connecting bones and tendons.
The third stage is the later stage, based on the principle of insufficient tonic and tendon activation, and the method of qi and blood supplementation, liver and kidney tonification, and tendon relaxation and circulation can be used.
It is also necessary to distinguish the syndrome and treat the patient according to the actual situation, and administer the treatment correctly.
In the case of general fractures, as long as we do timely nutritional supplements and correct healthy exercise, we can achieve good healing results.
Fractures