Nonoperative manipulative reduction with Chinese herbs for the treatment of a displaced olecranon fracture

Chen, Yu-Pei; Lan, Yi-Shan; Hu, Wen-Long; Hung, Yu‐Chiang

doi:10.1097/md.0000000000010818

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Due to delayed healing, patient was offered surgical intervention which may by itself cause nonunion [1] as well as nerve injury [6]. Patient however opted for TCM which has been reported to speed up the healing of humerus [3] and olecranon [4] fractures. In vitro experiment [7] as well in vivo work using rodent models [8] have shown that Chinese medicine have a role to play in speeding up bone healing.…”

Section: Discussionmentioning

confidence: 99%

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Humerus Fracture Healing Using Traditional Chinese Medicine

Mansur,

Ab Rahman,

Md. Shariff

et al. 2021

MJoSHT

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Cases of mid-shaft humerus fracture are often managed conservatively. However, poor fracture healing is not uncommon and often require surgical intervention with equivocal prognosis and may result in complications such as radial nerve injury and nonunion. We report a case of successful healing of mid-shaft humerus fracture using traditional Chinese medicine (TCM). The principles of fracture management in TCM is very different from conventional orthopaedics utilizing light immobilization, active joint exercise and herbal agents that promote bone healing. This case report illustrates the potential role of traditional Chinese medicine in humerus fracture management.

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Section: Discussionmentioning

confidence: 99%

“…However, TCM specifically for fracture management is rare. Very few cases reported of such use are available in the literature and mostly are from China [3,4]. We report a case of successful healing of midshaft humerus fracture using traditional Chinese medicine.…”

Section: Introductionmentioning

confidence: 98%

Humerus Fracture Healing Using Traditional Chinese Medicine

Mansur,

Ab Rahman,

Md. Shariff

et al. 2021

MJoSHT

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“…Non-surgical treatment mainly relies on the close reduction, which is minimal in terms of damage to the human body. 1 However, there are also some disadvantages, such as high requirement for doctors' experience and postoperative complications. Relatively, intramedullary nail fixation is the basic surgical method for long bone fracture treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Generally, there are two clinical treatment methods: surgical treatment and non‐surgical treatment. Non‐surgical treatment mainly relies on the close reduction, which is minimal in terms of damage to the human body 1 . However, there are also some disadvantages, such as high requirement for doctors' experience and postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

Trajectory optimisation with musculoskeletal integration features for fracture reduction orthopaedic robot

Cui

Jiang

et al. 2022

Robotics Computer Surgery

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Background: Human body is an integrated system of bones and muscles. To date, there are insufficient studies on the effect of muscles on the trajectory planning of orthopaedic robot. To this end, based on a Stewart-Gough platform (6-UPU) fracture reduction orthopaedic robot, a musculoskeletal trajectory optimisation method was constructed for the interference of soft tissue during the reduction process.Methods: Firstly, pose description of the fracture reduction orthopaedic robot was introduced, and its working space was analysed. Secondly, an improved Hill muscle theory was used to construct the musculoskeletal system, and finite element analysis (FEA) was carried out. Thirdly, particle swarm optimisation (PSO) with variable weights was imported, and fracture reduction trajectory planning was obtained by quintic polynomial in the workspace. Then mathematical model for trajectory optimisation was presented, and targets of musculoskeletal optimisation were extracted, which include muscle energy consumption, robot-assisted repositioning time and trajectory length. In this sense, musculoskeletal integration trajectory optimisation method was put forward. Finally, comparative optimisation simulation with skeleton only and bone and muscle together were tested, and safety experiment with musculoskeletal integration was conducted.Results: A cone shape workspace was got, whose range can be defined as 635.14 mm on the X axis, 720 mm on the Y axis, and 240 mm on the Z axis, respectively. Besides, different FEA displacements revealed the effect of bone and muscle on the movement of the robot. Moreover, the optimal results with and without muscle had showed different movement time: the former consumed about 27 s, but the latter spent about 25 s. Additionally, the speed and acceleration of the drive rods can be obtained from zero to zero during the reset. Conclusions:The results show that the optimised trajectory obtained with this method is safe and reliable. Furthermore, the presence of muscle has great influence on the trajectory of robot, which could prolong the reduction time so as to prevent the occurrence of uneven soft and hard traction rate problem. This paper could be helpful for the future trajectory planning study of fracture reduction orthopaedic robot.

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Traditional Chinese Medicine and orthopedic biomaterials: Host of opportunities from herbal extracts

Tang

Hosein

Mattioli‐Belmonte

2021

Materials Science and Engineering: C

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Nonoperative manipulative reduction with Chinese herbs for the treatment of a displaced olecranon fracture

Abstract: Nonoperative manipulative reduction performed by a well-trained physician with Chinese herbs may be a treatment option for displaced olecranon fractures.

Cited by 3 publications

References 17 publications

Humerus Fracture Healing Using Traditional Chinese Medicine

Humerus Fracture Healing Using Traditional Chinese Medicine

Trajectory optimisation with musculoskeletal integration features for fracture reduction orthopaedic robot

Traditional Chinese Medicine and orthopedic biomaterials: Host of opportunities from herbal extracts

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