中国中西医结合外科杂志2025，Vol.31Issue(6)：832-837,6.DOI:10.3969/j.issn.1007-6948.2025.06.005
吴门医派手法治疗老年肱骨近端粉碎性骨折的疗效分析
Analysis of clinical efficacy of Wu-Men manipulative therapy in treating proximal humeral comminuted fractures in the elderly
摘要
Abstract
Objective To analyze and compare the clinical efficacy of Wu-Men manipulative therapy versus open reduction and internal fixation(ORIF)with plate osteosynthesis for treating proximal humeral comminuted fractures in elderly patients.Methods Fifty-three elderly patients with proximal humeral comminuted fractures treated at Suzhou Hospital of Traditional Chinese Medicine were enrolled.Twenty-six patients received Wu-Men manipulative therapy(observation group),and the remaining twenty-seven underwent ORIF with plate osteosynthesis(control group).Visual analog scale(VAS)scores for pain,Constant-Murley shoulder scores,and the relative height of the humeral head were compared between the two groups after treatment(post-reduction,and at 1 month,3 months,and 9 months).Associated complications were observed and documented.Results A total of fifty-three patients were enrolled(26 in the observation group and 27 in the control group).All 53 patients achieved clinical fracture healing.Post-treatment,significant improvements in VAS scores,Constant-Murley scores,and humeral head relative height were observed in both groups.At the final follow-up,no statistically significant differences between groups were found in these measures(P>0.05).In the observation group,13 patients had malunion.In the control group,one patient experienced postoperative wound nonunion,and two patients developed shoulder impingement syndrome.Conclusion Wu-Men manipulative therapy provides satisfactory clinical outcomes in elderly patients with proximal humeral comminuted fractures.It has advantages such as minimal invasiveness,low risk,early functional exercise,and cost-effectiveness.However,it is associated with a higher rate of malunion and inadequate early-stage pain management.关键词
吴门医派手法/功能锻炼/肱骨近端粉碎性骨折/非手术治疗Key words
Wu-Men manipulative therapy/functional exercise/proximal humeral comminuted fracture/conservative treatment分类
医药卫生引用本文复制引用
龚冠亦,游沛杰,刘锦涛,姜宏,钱祥..吴门医派手法治疗老年肱骨近端粉碎性骨折的疗效分析[J].中国中西医结合外科杂志,2025,31(6):832-837,6.基金项目
江苏省第三批中医药领军人才项目(苏中医科教[2023]17号) （苏中医科教[2023]17号）
江苏省科教能力提升工程:江苏省医学重点学科/实验室建设单位项目(苏卫科教[2022]17号) （苏卫科教[2022]17号）
江苏省中医药科技发展项目(MS2022080) （MS2022080）
苏州市2022年度第二十九批科技发展计划(市重点实验室新建)项目(SZS2022019) （市重点实验室新建）
苏州市"科教兴卫"青年科技项目(KJXW2023047) （KJXW2023047）
