Effect of Gukang capsule-assisted surgical treatment on fracture healing, microcirculation and bone metabolism in elder patients with fracture of distal radius

• Main Author: Jian-Nian Wang
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2016-10-01
• Series: Journal of Hainan Medical University
• Subjects: Fracture of distal radius; Gukang capsule; Osteoblast; Activated vitamin D
• Online Access: http://www.hnykdxxb.com/PDF/201619/21.pdf
• ISSN: 1007-1237; 1007-1237

Objective: To analyze the effect of Gukang capsule-assisted surgical treatment on fracture healing, microcirculation and bone metabolism in elder patients with fracture of distal radius. Methods: A total of 200 elderly patients with fracture of distal radius treated from September 2010 to September 2015 were randomly divided into observation group and control group (n=100). Control group received routine surgical treatment, and observation group underwent Gukang capsule-assisted surgical treatment. Fracture healing was compared between two groups, serum microcirculation and bone metabolism indexes were detected 1 week after operation, X-ray examination was performed 6 months after operation and imaging parameters were measured. Results: Regression time of postoperative affected-side limb swelling and radiographic healing time of broken ends of fractured bone of observation group were significantly shorter than those of control group; 1 week after operation, serum TXB2, CTX-I, CTX-II, RANK, RANKL and TRACP5b levels as well as TXB-2/6-Keto-PGF1α ratio of observation group were significantly lower than those of control group, and 6-Keto-PGF1α, ALP, OPG, PICP, BGP and 1,25(OH)2D3 levels were significantly higher than those of control group. Conclusions: Gukang capsule-assisted surgery helps promote the fracture healing in elderly patients with fracture of distal radius and can improve microcirculation and bone metabolism.