Manual therapy for fractures has many benefits

  For thousands of years, Chinese medicine has made indelible contributions to the health of our people, especially the treatment of fracture by Chinese medicine is unique, relieving the patients’ pain and preserving the labor force. In recent years, with the development of modern medicine, the histocompatibility of internal fixation materials has gradually improved. The surgical treatment of fractures has gradually taken a dominant position, and there is a tendency to gradually expand the indications for surgery. The one-sided pursuit of anatomical repositioning and solid internal fixation, manual orthopedic treatment is known for “less pain, faster recovery and less money”, which not only brings physical recovery to the general public, but also achieves many goals of today’s people-friendly medical treatment. 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 (dynamic and static combination); bone and soft tissue together (tendon and bone together); both local and systemic treatment and fixation (both internal and external fixation); and close cooperation between medical measures and the patient’s subjective initiative (doctor-patient cooperation).  Modern medical personnel have the unique advantage of mastering orthopedic manipulation. On the one hand, they strive to learn and inherit the techniques of fracture correction by Chinese medicine, on the other hand, they master the knowledge of human anatomy of modern medicine, and the normal relationship between bone and bone, bone and surrounding soft tissue. During the manual orthopaedic treatment, he is able to understand the anatomical atlas. As said by the Golden Guide to Medicine, “Therefore, we must know the body phase and its parts, so that once the evidence is in front of us, the machine touches the outside and the skill is born inside, the hand follows the heart and the law comes out from the hand.” The treatment of fracture by manual repositioning, small splint fixation, internal herbal medicine and external ointment can strengthen both bone and soft tissue, repositioning and fixation and functional exercise, and protect local soft tissue and the role of human body in fracture healing. The effect of less equipment, faster healing, better function, less complications and less cost is received.  The high cost of surgery brings a heavy economic burden to the patient’s family and society. Low cost is one of the advantages of orthopedic manipulation. In the case of lower limb fracture, for example, the cost of orthopedic manipulation is only 150 RMB in the same tertiary care hospital. Surgical orthopedics includes 1000 RMB for surgery, 300 RMB for anesthesia, and 200 RMB for dressing. Intraoperative electric knife, electric drill, use of automatic tourniquet, monitoring, oxygen and intraoperative medication is about 500 RMB. The internal fixation material is about 3000 RMB as well as postoperative prophylactic application of antibiotics. Even after the orthopedic manipulation, the patient was admitted to the hospital for proper care and timely adjustment of the fracture site. The difference between the cost of surgical orthopedics and the cost of manipulative orthopedics is about 8,000 yuan when fracture healing drugs are applied. However, what is puzzling is that the operated patients and their families are grateful to the doctors, and some of them even invite guests and send gifts. After the manual orthopedic patients, when told to pay 150 yuan treatment fee, but will be wide-eyed exaggerated: eat people ah, a little move to charge more than 100 yuan, this is what hospital, you are what doctor! I do not know how much practical experience and knowledge is contained in this simple technique, and how much medical cost is saved for the patient!