Nowadays, many doctors focus on internal fixation of fracture, as long as the surgery is done beautifully (good alignment), the surgery is considered successful, and it is not their concern whether the fracture can heal, when it can heal, and when the limb or joint function will be restored. In fact, it is the patient’s wish and the doctor’s responsibility to make the fracture heal as soon as possible and restore the normal function of the limb as soon as possible. In fact, fracture treatment is not only about the so-called strong internal fixation. It is also important to reduce postoperative swelling and pain, promote the formation of fracture scabs, protect the function of joint cartilage, and start joint rehabilitation exercises as soon as possible.
We have been informed of your situation. You are now more than 50 days after wire fixation of your patella fracture, and a recent review showed mild edema of the joint, good alignment of the fracture, blurred fracture line, and osteoporosis of the patella. Based on the fact that the joint is still swollen and painful, the joint cannot bear weight. I suggest: 1. Internal Chinese medicine aims to eliminate the joint edema and improve the nutritional status of the joint more quickly. To lay a good foundation for further rehabilitation. The herbal formula is as follows: Astragalus membranaceus 30, Angelica sinensis 10, Papaya 10, Bonesetter 15, Poria 20, Atractylodes macrocephala 10, Coix seeds 30, Turtle worms 10, Zelenia 10, Knees 10, 10 doses.
2, another decoction with the following external washing: safflower 10 sophora 10 stretching grass 15 perforated grass 15 sea tung bark 15 cinnamon stick 10 Sichuan pepper 10, a daily dose, a dose of washing 2-3 times.
3, joint function exercise: (1) straight leg raise exercise: supine bed or sitting position, straighten the knee joint (quadriceps contraction), lift the lower limb. Stop for 5 seconds, slowly put down. Repeat this.
(2) Joint extension and flexion exercise: slowly flex the knee to the limit in the straight position, stop for 5 seconds, slowly straighten, and so on.
(3) Stand holding the chair to exercise the weight-bearing capacity of the joint. Gradually increase the standing time daily according to the situation.
(4) If the swelling and pain of the joint worsen during the rehabilitation exercise, you can use more of the above-mentioned herbal treatment, and you can also add oral Xilabao capsules, one capsule per day. Topical rubbing of Fotalin emulsion.
5. To prevent future combined knee osteoarthritis, you can also take oral glucosamine sulfate capsules and strengthen calcium supplementation. Nutritional high calcium supplements can be taken.