The clever technique is fixed, the bone is fast wound small

Time: 2018-04-20 source: Chinese traditional Chinese medicine report 1 edition author: xu jing

It is not uncommon for traditional Chinese medicine to treat bone injuries, but few doctors can cure the compressive fracture of the thoracic and lumbar vertebrae with traditional Chinese medicine. Meng xiangqi, director of the suzhou hospital of traditional Chinese medicine, has developed a skillful reduction technique and combined with his own spinal fixation method to treat the disease without surgery.

In suzhou city, jiangsu province hospital of traditional Chinese medicine bone traumatology department chief physician Meng Xiangji gathered a pile of heavy medical record, decorated with two patients with CT slice, can see clearly that a piece was crushed spinal status before and after rehabilitation.

If it weren't for the CT scan, many would not believe that the patient with the thoracolumbar compression fracture had been restored to health without surgery.

"Doctor, can I not operate?" This is the first sentence that many patients with thoracolumbar compression fractures see the doctor. The treatment of traditional Chinese medicine gave meng xiangqi the confidence to say "yes" to patients.

Although it is not uncommon for traditional Chinese medicine to treat bone injuries, there are only a handful of doctors who can use traditional Chinese medicine to cure the compressive fractures of the thoracic and lumbar vertebrae. Meng xiangqi is one of them.

Thoracolumbar compressibility fractures often occur after falling from a height, hip or both feet. After fracture occurs, the thoracolumbar spine loses its original shape and height, causing severe pain and a series of complications. Currently, surgical treatment is commonly used. Meng Xiangji said: "now the hottest vertebral arch nail treatment, at least two operations, not only has a risk, and the single operation in 5 ~ 60000 yuan price, for many families, the burden is very big."

In addition to the high cost of surgery, the spinal cord, nerves and blood vessels that surround the spinal column are also fraught with uncertainty and danger. This also increases the risk of treatment.

In the search for an alternative to the surgery, meng began experimenting with the technique of stretching and pushing back under continuous traction.

This kind of manipulation should be stable, accurate, and agile, with uniform, consistent, steady and appropriate action, which is very difficult and very demanding for doctors. Meng has mastered the trick through years of resetting exercises with the help of X-ray light.

If the doctor can use manual reduction of compressed vertebral bodies still have, so, can maintain the height of vertebral body after manual reduction, meet the demand of reset after spinal rehabilitation method of fixed is achieved easily.

At present, the medical profession commonly USES the method such as waist circumference fixation, gesso vest. However, the waistline is not strong enough, and the gypsum vest is inelastic and cannot be adjusted. It is easy to cause the spinal stiffness, and the posterior protrusion of the thoracolumbar. Due to the lack of effective fixed materials, the orthopedics of traditional Chinese medicine also classified "thoracolumbar compression fracture" as a contraindication for small splints.

Meng xiangqi believes that the effective and reasonable fixation after fracture reduction is the key to the long-term efficacy of patients. He innovatively invented the adjustable spine external fixator after comparing the material with plastic splint and elastic plywood.

The fixator is 2 cm thick, 20 cm wide, and is long used to pass the patient's shoulder, and the longitudinal type fixed plate at the top of the tail bone and the supporting parts connected with the fixed plate.

Place a flexible curved support part over the board and form a space with the lower plate. In this space, a regulator with adjustable height can adjust the curvature and maintain the ideal state of the spine after the recovery process.

The adjustable external fixator is meng xiangqi's original creation. It improved the disadvantages of the old fixed methods, not only effectively maintaining the height of the injured vertebral body, but also facilitating the simple turnover of patients, so as to relieve the pressure of family nursing.

After the fixer is strapped to the body, the patient will be recuperated for 6 to 8 weeks. The cost of the whole course of treatment is not more than 3000 yuan, the wound is small, the recovery is fast, the patient's psychological acceptance is high, it is the advantage of the traditional Chinese medicine method to treat the compressible fracture of the thoracic and lumbar vertebra.

Often the teacher is the beneficiary of this kind of treatment method after his waist two vertebral compression fractures, fracture piece into sedation lead to urinary retention, via Meng Xiangji technique reduction and fixation, from surgery, and did not leave sequela.

This unique work has made meng xiangqi's clinic patient. He used the suzhou gardens to describe the feeling of the traditional Chinese medicine: a small arch in front of him, but there was no room for him to walk in. The same is true of traditional Chinese medicine, which seems to be a small field, but there is no limit to learning.

Because of the risk of manipulation, the experience and technical requirements of doctors are very high, and there are limitations in the promotion of clinical application. Therefore, it is the direction of meng xiangqi's future efforts to find a quantifiable way to reduce risk.