Abstract
Objective
To compare the clinical efficacy of treatment based on syndrome differentiation of Chinese medicine and modern conservative therapeutic program on post-traumatic elbow arthritis (PTEA) in order to provide the guidance in clinical practice.
Methods
Seventy-six patients with PTEA requesting the conservative therapy were equally assigned to two groups randomly. The 38 patients in the treated group were administered with Chinese herbal medicines according to their syndrome typing for oral intake and external washing; while the other 38 patients in the control group were treated orally with glucosamine hydrochloride and Celecoxib, combined with intra-articular injection of sodium hyaluronate and peri-articular pain spot blocking with Triamcinolone Acetonaide Acetate injection. All were followed-up for six months with the therapeutic efficacy assessed by Japanese Orthopaedic Association (JOA) and the Hospital for Special Surgery (HSS) Scale scoring.
Results
All the 76 patients completed the trial. The JOA and HSS scores in the two groups were not significantly different before treatment (P>0.05), but they did show significant difference after treatment in terms of total score, joint pain, range of motion, and daily activity (P<0.05). However, there was no difference between the two groups in the improvement of joint stability and deformity (P>0.05).
Conclusion
Both the Chinese drug therapy according to syndrome differentiation and modern conservative therapy are effective in treating PTEA, but the former shows more superiority, and so it is worthy of clinical spreading.
Similar content being viewed by others
References
Ishii Kiyokazu. Japan Society of Plastic Surgeons Elbow Function Evaluation. Magzine Japanese Orthopaedic Association 1992;66:591–603.
Inglis AE, Pellicci PM. Total elbow replacement. J Bone Joint Surg Am 1980;62:1252–1258.
Doll S, Paccaud F, Bovet P, Burnier M, Wietlisbach V. Body mass index, abdominal adiposity and blood pressure: consistency of their association across developing and developed countries. Inter J Obesity 2002;26:48–57.
Zheng XY. Guiding principle of clinical research on new drugs of Chinese medicine (trial). Beijing: China Medical Science and Techonlogy Press; 2002:201–204.
McAuliffe JA, Miller RE. Osteoarthritis and traumatic arthritis of the elbow. J Hand Ther 2000;13:136–147.
Heirweg S, De Smet L. Operative treatment of elbow stiffness: evaluation and outcome. Acta Orthop Belg 2003;69:18–22.
van Brakel RW, Eygendaal D. Intra-articular injection of hyaluronic acid is not effective for the treatment of post-traumatic osteoarthritis of the elbow. Arthroscopy 2006;22:1199–1203.
Zhang HM, Jing L, Min ZH. Clinical study of co-analgesic with COX-2 inhibitors and analgesia infusion pump in joint replacement perioperation. Chin J Clin (Electronic Version) (Chin) 2007;1:291–292.
Shen L, Yang JY, Gao L. Effect of Bushen Jiangu Tang on oxygen free radical metabolism of patients with osteoarthritis of knee joint. Chin J Orthop Traumatol (Chin) 1996;4:8–10,63–64.
Niu J, Ying HB. Clinical study of Chinese medicine treatment on knee osteoarthritis. J Tradit Chin Orthop Traumatol (Chin) 2007;19:66–68.
Liu KP, Chen BC. Experimental research on the effects to articular cartilage using intra-articular glucocorticoid. Orthop J Chin (Chin) 2001;8:674–677.
Feng JQ, Sun C, Sun JQ, Wang SA, Liu TJ. Effect of traditional Chinese medicine with iontophoresis on osteoarthritis of rabbit knee joint in vivo. Chin J Surg Integr Tradit West Med (Chin) 2008;14:587–591.
Sun NQ, Yao LB. Four cases of Achilles tendon rupture caused by hormone injection. J Bone Joint Injury (Chin) 2003;(3):179.
Psychiatry Branch of Chinese Medical Association. Chinese classification and diagnostic criteria for mental disorders (CCDM-3). 3rd ed. Shandong: Shandong Science and Technology Press; 2001:1–344.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Min, Zh., Zhou, Y. & Zhang, Hm. Effect of treatment based on syndrome differentiation by Chinese medicine on post-traumatic elbow arthritis. Chin. J. Integr. Med. 16, 264–269 (2010). https://doi.org/10.1007/s11655-010-0264-z
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11655-010-0264-z