脛骨平台延遲性癒合病例報告

A Case Report of Delayed-union of Tibial Plateau Fracture

蔡一成(I-Cheng Tsai) ； 邱少君(Shao-Chun Chiu) ； 沈炫樞(Hsuan-Shu Shen)

《中西整合醫學雜誌》 23卷1期 (2021/06) Pp. 28-36

摘要

骨折好發於各年齡層，在手術復位及固定後，仍須經一系列的發炎、修補以及再塑型等過程後才完成骨癒合。根據統計，約有5～10%的患者發生骨折後癒合不良。本病例之54歲女性患者，原有體重過重問題，於此次跌倒造成骨折，經三個月復健治療後，癒合狀況不如預期，故至本院中醫求診，中醫辨證屬瘀阻脈絡、肝腎虧虛證型。給予血府逐瘀湯加減與傷科止痛手法後，治療效果有限，於是改用傷科活血化瘀手法及熱敷衛教後，諸症狀緩解明顯，患者可回到原來的工作崗位。

關鍵字

骨折 ； 癒合不良 ； 血府逐瘀湯

並列摘要

Bone fractures are common in each age group. After reduction and fixation, bone healing can be simplified into three successive stages: inflammation, repair, and remodeling. According to statistics, the prevalence of delayed healing and non-union is 5-10%. We report a case of a 54-year-old overweight woman who sustained a delayed-union right tibial fracture while 3-month rehabilitation. Based on syndrome differentiation of TCM, the patient was diagnosed as blood stasis and liver-kidney yin deficiency pattern. Her clinical signs were not improved very much after taking XUE FU ZHU YU DECOCTION and applying pain-relief-manipulation. Due to the limited therapeutic effect, we then approached the activate-blood-and-resolve-stasis manipulation and hot compressing patient instructions. Afterwards the patient's clinical signs were significantly improved and she was able to get back to work.

並列關鍵字

Fracture ； Malunion ； XUE FU ZHU YU DECOCTION

參考文獻

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