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Mar 31, 2025Keywords:
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Main Article Content
Effect of the combination of Huoxue Busui decoction and hollow screw internal fixation on treatment of femoral neck fractures
Abstract
Purpose: To determine the effect of Huoxue Busui decoction plus hollow screw internal fixation in
adolescent and middle-aged patients with fractures of the femoral neck.
Methods: 56 patients receiving treatment for fracture with hollow screw internal fixation in the
emergency rapid diagnosis and treatment channel of Dongying People's Hospital, China from April 2015
to January 2023 were randomly assigned to study and control groups. The two groups received hollow
screw internal fixation and conventional drug therapy, but in addition, control group were given Huoxue
Busui decoction 2 days after surgery. Visual analogue scale (VAS), hip efficacy score and hip flexorextension
range of motion pre- and post-operation were analyzed.
Results: Preoperative VAS score and postoperative garden alignment index (GAI) of fracture reduction
were comparable in the two groups. The VAS scores of control group at 5 days, 7 days, 1 month and 12
months after surgery were significantly lower than study group (p < 0.05). Fracture healing time was
shorter in study group. At the last follow-up, there was no case of fracture non-union in control group.
However, there were 2 cases of nail withdrawal and 1 case of femoral head necrosis. In contrast, study
group had 1 instance of non-union, 3 instances of nail removal and 4 instances of femoral head
necrosis.
Conclusion: Huoxue Busui decoction combined with hollow screw internal fixation improved femoral
neck fracture in young and middle-aged patients and promotes fracture healing after surgery and
effectively improves joint function of patients. However, longer follow-up time, and in-depth study of the
mechanism of action of this combination will be required.
