Over the past thousands of years, the motherland medicine has made indelible contributions to the health of our people, especially the Chinese medicine on the fracture manipulation and restoration treatment is unique, relieving the patient’s pain and preserving the labor force. In recent years, with the development of modern medicine, the internal fixation material histocompatibility gradually improved. Surgical treatment of fractures has gradually taken the lead, and the indications for surgery have a tendency to expand gradually. One-sided pursuit of anatomical reset and solid internal fixation, manual bone-setting is known as “less pain, fast recovery, less money”, not only to the general public to bring physical rehabilitation, but also to achieve many of today’s goals of medical care for the benefit of the people. Sun Xiaona of the Department of Orthopaedics, Jinan Hospital of Traditional Chinese Medicine (JHTC), has been recognized by the public for her unique treatment method and remarkable therapeutic effect. After the exploration of the combination of Chinese and Western medicine, the predecessors summarized four principles of fracture treatment, namely, the combination of fixation and activity (static and dynamic combination); bone and soft tissues (tendon and bone); local and systemic treatment and solid (internal and external solid); medical measures and the patient’s subjective initiative to work closely with the patient’s cooperation (doctor-patient cooperation). Modern medical personnel have the unique advantage of mastering manipulative bone-setting. On the one hand, they try to learn and inherit the technique of manipulating bone fracture from the motherland medicine, on the other hand, they master the knowledge of human anatomy of modern medicine, and master the normal relationship between bone and bone, bone and surrounding soft tissues. When he manipulates the bones, he knows the anatomical map of the human body as if it were in his mind. As the medical school Jinjian said, “Therefore, we must be aware of the body, know its parts, once the evidence, the machine touches the outside, the skill is born in the inside, the hand with the heart to turn, the law from the hand out.” Through the manipulation of reset, small splint fixation, internal Chinese medicine, external plaster treatment of fracture, both solid bone and soft tissue, both solid reset fixation and functional exercise, protection of the local soft tissue and the human body on fracture healing effect. Received the effect of less equipment, fast healing maneuver, good function, fewer complications, cost savings. The high cost of surgery brings a heavy economic burden to the patient’s family and society. Low cost is a major advantage of manipulative bone-setting. Taking lower limb fracture as an example, in the same tertiary hospital, the cost of manipulative bone setting is only 150 RMB. Surgical orthopedic surgery costs RMB 1,000, anesthesia costs RMB 300, and dressing costs RMB 200. The use of electric knife, electric drill, automatic tourniquet, monitoring, oxygen and intraoperative medication is about 500 RMB. The internal fixation material is about 3,000 RMB and there is also postoperative prophylactic application of antibiotics. Even after the manipulation of orthopedic bone, in order to provide appropriate care for the patient, the fracture site is adjusted in a timely manner, the patient will also be admitted to the hospital. And the application of drugs to promote fracture healing, surgical orthopedics and manipulation of orthopedic cost difference is about 8,000 yuan. However, it is puzzling that the surgical patients and their families are grateful to the doctors, and some of them even treat and send gifts. Manipulation of orthopedic patients, when told to pay 150 yuan treatment fee but will be wide-eyed exaggeration: eat people ah, move a little on the collection of more than a hundred dollars, this is what the hospital, you are what doctor! Do not know, this small a simple maneuver contains how much practical experience and knowledge accumulation, and how much medical costs for the patient to save! Practice has proven that surgical treatment of fractures is not only expensive, but also has many complications, which can seriously affect fracture healing and functional recovery. Surgery can damage the periosteum and surrounding soft tissues, affecting the local blood supply and fracture healing. We all know the saying: it takes 100 days to heal a broken bone. However, if we look back at the fracture healing situation of surgical patients, we will find that the fracture healing time is much more than 100 days. Why? The original fracture healing depends on the regeneration of the fractured tissue, the regenerative power of the fractured tissue strength and local blood supply. When a fracture occurs, the surrounding soft tissues have been damaged to different degrees. When orthopedic manipulation is used, the fracture still retains the original post-traumatic blood supply. When surgical treatment is used, because of the need to cut the surrounding soft tissues and peel the periosteum, it is bound to further damage the local blood supply of the fracture, and if the trophoblastic artery is destroyed during the surgery, it will damage the blood supply of the fractured part even more extensively, and the fractured section will undergo widespread ischemic necrosis. Fracture healing time is prolonged, and even non-union of the fracture occurs. Although modern metal internal fixation has better biocompatibility with the human body, rejection reaction still occurs. It affects the physical properties of the internal fixation, which can cause the internal fixation to bend and break, and fracture re-displacement and non-union can occur. The development of internal fixation is inseparable from the development of natural science and industry. Internal fixation has been started as early as before the last century. However, due to the poor compatibility of the currently used materials with human tissues. Mechanical strength is insufficient, the design and processing technology is not perfect, as well as the concept of aseptic technology and surgical instruments and equipment is not perfect, and other reasons, failed to promote the application. In recent years, due to the development of metallurgy, the strength and tissue compatibility of internal fixation has been greatly improved. However, through a large number of clinical observations, the patient’s rejection reaction to the internal fixation still accounts for a considerable proportion. Patients have unexplained postoperative hyperthermia, enhanced periosteal reaction at the fracture site, and nail scars. Local skin pigmentation. Even localized rupture, outflow of sterile secretion. The internal fixation had to be removed early, making the internal fixation fail. Firm internal fixation will result in stress masking, causing severe osteoporosis of the entire bone, which can lead to re-fracture. The problems of bone ischemia, bone resorption, and delayed contouring of bone scabs due to stress shielding and stress concentration, etc., have attracted attention with hard internal fixation, especially hard and thick internal fixation. It is found that the hard internal fixation plate causes the normal physiological load not to pass through the fracture end, but by the internal fixation plate itself, forming a “bypass”, so that the fracture end is protected by the stress, so that it loses the normal load, and the bone undergoes wasteful atrophy and loosening. After the fracture is healed, the internal fixation is taken out, and the original fracture is restored to the normal load. If no attention is paid to the protection, the affected limbs, especially the lower limbs, may be fractured again due to the torsion force or the larger external force within half a year. This kind of fracture has poor ability to heal again, and most of them need bone grafting. This kind of fracture has a serious impact on the patient’s physiology, heart and economy, and it is common in the clinic. After surgical internal fixation, most of them still have to use long-term external fixation, which still hinders the movement of the joints, causes adhesion of the joints, and affects the function of the joints. Originally, one of the advantages of surgical cut-and-replace internal fixation over manipulation is that after cut-and-replace internal fixation, early movement can be achieved to prevent adhesion of the joint. However, this is not the case. Due to the patient’s age, degree of cooperation, fracture site, fracture comminution, strength of internal fixation materials and technical operation, most of the patients still have to use long-term external fixation after internal fixation until there are more bone scabs appear. This will inevitably cause adhesion of the adjacent joints and affect the joint movement. In other words, this advantage is not realized in most cases. Surgical incision for internal fixation can lead to infections, resulting in chronic osteomyelitis, which can persist for a long time and, in severe cases, can lead to amputation of the limb. Aseptic technique is very important for any surgery, especially for orthopedic surgery. Orthopedic surgery often requires the implantation of various foreign objects that are compatible with human tissue, such as artificial joints, bone cement, artificial bone, and various internal fixations. These foreign bodies are compatible with human tissues under aseptic conditions. Once infection occurs, they become incompatible foreign bodies with human tissues. If not removed, the infection is difficult to cure. If removed will result in limb deformity. Severe infections can result in osteomyelitis. As we all know, sterility is relative and germs are absolute. Even if the operating room is isolated in layers, advanced sterilization facilities and air laminar flow equipment are used, the surgeon washes his hands before the operation, wears aseptic gown, and the surgical site is strictly sterilized. There is still no guarantee that infection can be avoided. Taking femur fracture as an example, the world authoritative orthopedic journal Campbell Orthopedics recorded that in 1979, Rüedi reported that the infection rate and non-healing rate of plate fixation were 8% and 14%, respectively, and in 1984, Johnson, Johnston and Parker reported that the infection rate and non-healing rate of incision and reduction intramedullary nail fixation were 13% and 22%, respectively. Acute osteomyelitis is characterized by localized redness, swelling, heat and pain in the affected limbs, with obvious systemic toxic symptoms. Improper or untimely treatment, the development of the disease can be chronic osteomyelitis. Formation of dead bone dead bone outside the shell is often eroded by pus, the formation of fistula holes, often purulent secretions from the fistula. Due to the lack of blood supply, the body’s antimicrobial ability and medication is difficult to reach, there are often bacterial residues, the fistula sometimes healed when the pus secretions flow sometimes stop. Bone is often proliferated and sclerotic, and pathologic fractures occur; there is dense scar proliferation in the surrounding soft tissues. The skin near the sinus tract is stimulated by inflammatory secretion for a long time, and cancer can occur in the long run. The success rate of applying combined Chinese and Western medicine maneuvers to fix fractures is high, and thus the current indications for incisional reduction of fractures have been increasingly narrowed. Some people think that the reason why some internal fixation techniques are not effective in our country is that some hospitals are not modernized enough in terms of surgical instruments, internal fixation materials and operating room equipment. Is this the reason or not? I will quote a passage from Orthopedic Surgery to answer this question. Prof. Zhu Tongbo was invited to visit the world famous Vienna, Austria, Laurence Beller Trauma Hospital and served as a solid consultant. Prof. Zhu Tongbo was invited to visit the world-famous Vienna Laurence Beller Trauma Hospital in Austria and served as a solid questionnaire. After a relatively long period of in-depth observation and repeated thinking, he found that the essence of the problem was not so. The trauma hospitals in Austria are run by insurance companies. The hospitals have to submit a bulletin to the company on a regular basis. This bulletin reflects the effectiveness of the treatment of various traumas, the length of treatment (including rehabilitation time) and the cost of medical care. The former president, Lorenz BÖhler, favored the treatment of fractures with closed reduction external fixation, which was known for its efficacy. jÖrg BÖhler succeeded the president and favored incisional reduction internal fixation surgery. The length of treatment, complications, and poor results were accompanied by a marked increase in costs to the point that insurance companies were losing money, causing dissatisfaction in all quarters. In the same hospital, the level of medical equipment and personnel is exactly the same, only the treatment method is different, the contrast is so obvious. This shows that the essence of the problem lies in how to master the correct treatment method. Prof. Zhu Tongbo has observed many surgical scenes in various famous modern hospitals in the West over the years. It is found that many cases due to undergo incision restoration internal fixation surgery in addition to the original trauma, but also once again to withstand the surgery brought about by the great damage. Individual cases even had accidents. Despite the highly modernized conditions in all aspects, it is futile. The combination of Chinese and Western medicine in our country not only has good efficacy and low cost, but also ensures safety. Under the leadership of Director Liang Anmin, our department adopts the combination of Chinese and Western medicines with manipulation and restoration as the main method and surgical treatment as the auxiliary method, which not only reduces the pain and saves a lot of medical expenses for the majority of patients, but also sets a record of the lowest average charge for a bed day, which is highly praised by the majority of patients.