DOI QR코드

DOI QR Code

Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases

무릎뼈 골절 후 한방 재활치료의 임상적 효과: 증례 보고

  • Geum, Ji-Hye (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University) ;
  • Woo, Hyeon-Jun (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University) ;
  • Kim, Jong-gyu (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University) ;
  • Lee, Jung-Han (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University)
  • 금지혜 (원광대학교 한의과대학 한방재활의학교실) ;
  • 우현준 (원광대학교 한의과대학 한방재활의학교실) ;
  • 김종규 (원광대학교 한의과대학 한방재활의학교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실)
  • Received : 2020.09.10
  • Accepted : 2020.09.25
  • Published : 2020.10.31

Abstract

The aim of this study was to propose our rehabilitation protocol involving Korean medicine for patients with patellar fracture and report its effectiveness. Further, for the same patellar fracture patients, we created different protocols for those who underwent surgical treatment and those who required conservative treatment. Among patients who received inpatient treatment at our hospital for three years from August 2017 to August 2020, we included three patients who underwent surgical treatment for patellar fracture and one patient who required conservative treatment for patellar fracture. The degree of improvement of the patients was evaluated using physical examination findings of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state. After each treatments, we observed that the range of motion of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state improved in the patient groups. Even with the same patellar fracture, we observed that different rehabilitation treatments involving Korean medicine should be applied to patients who underwent surgical treatment and those who required conservative treatment. However, further studies are needed to design a rehabilitation protocol involving Korean medicine.

Keywords

References

  1. Ko SH, Cho SD, Na HY, Kim WS, Jeong YY, Kwag CY, Kim BS. Arthroscopic-assisted reduction and internal fixation of patella fractures. The Journal of the Korean Society of Fractures. 2003;16(4):482-8. https://doi.org/10.12671/jksf.2003.16.4.482
  2. Bostrom A. Fracture of the patella. Acta Orthop Scand. 1972;143:1-80. https://doi.org/10.3109/ort.1972.43.suppl-143.01
  3. Kim DH, Kim JM, Koh IJ. Operative treatment of patellar fractures. Journal of the Korean Society of Fractures. 2004;4(17):314-8.
  4. Jang JH, Sohn JM, Bahk WJ, Song JH. Patellar fractures treated with modified tension band internal fixation. J Korean Fracture Soc. 1993;6:262-70. https://doi.org/10.12671/jksf.1993.6.2.262
  5. Muller ME, Allgower M, Schneider R, Willenegger H. Manual of internal fixation: techniques recommended by the AO group. 3rd ed. Berlin:Springer-Verlag. 1991:248-53.
  6. Kim CG, Lee JH, Jo DC, Moon SJ, Park TY, Ko YS, Song YS, Lee JH. Korean medical rehabilitation for total knee replacement. J Korean Med Rehabil. 2014; 24(1):111-8.
  7. Geum JH, Ha WB, Koh NY, Lee JH. A rehabilitation protocol for high tibial osteotomy in Korean medicine: a report of 3 cases. J Korean Med Rehabil. 2018;28(3):107-18. https://doi.org/10.18325/jkmr.2018.28.3.107
  8. Song MY, Jo HG, Sul JU, Leem JT. Proposal of east-west integrative medicine manual for rehabilitation after shoulder surgery. J Korean Med Rehabil. 2018;28(1):109-20. https://doi.org/10.18325/jkmr.2018.28.1.109
  9. Kinner D, Nathwani D. Traumatic problems of the patella. Orthopedics and Trauma. 2012;26(5):354-61. https://doi.org/10.1016/j.mporth.2012.08.003
  10. Mehling I, Mehling A, Rommens P. Comminuted patella fractures. Current Orthopedics. 2006;20:397-404. https://doi.org/10.1016/j.cuor.2006.11.004
  11. Della Rocca G. Displaced patella fractures. J Knee Surg. 2013;26:293-300. https://doi.org/10.1055/s-0033-1353988
  12. Ciriello V, Cudipati S, Tosounidis T, Soucacos PN, Giannoudis PV. Clinical outcomes after repair of quadriceps tendon rupture: a systematic review. Injury. 2012;43(11):1931-8. https://doi.org/10.1016/j.injury.2012.08.044
  13. Park JS, Park IH, Kim DH, Park MR, Na DY. A clinical study of the patella fracture. J of Korean Orthop Assoc. 1988;23(4):983-90. https://doi.org/10.4055/jkoa.1988.23.4.983
  14. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. The acupuncture and moxibustion medicine. 3rd ed. Seoul:Jipmoondang Publishing Co.. 2012:561-2.
  15. Bak JW, Gim SB, Kim EA, Lee KM, Kim DH. Study of KMSMT on anti-inflammaory effect. Journal of Haehwa Medicine. 2012;20(2):17-27.
  16. Ha HJ, Oh MS. Experimental study of Dohongsamul-tang (Taohongsiwu-tang) on fracture healing. J Korean Med Rehabil. 2020;30(2):47-66.
  17. Lee HG, Oh MS. Effects of Jeopgolsan (JGS) extract on fracture healing. J Korean Med Rehabil. 2018;28(1):1-17. https://doi.org/10.18325/jkmr.2018.28.1.1
  18. Choi CH, Kim SJ, Shin JC, Wi TS, Kim JH, Choi JB, Kim YE, Na CS. Clinical study of Dokhwalkigisaengtanggagambang (DGG) and Gamisayuktanggagambang (GSG) for improving lumbago and knee joint pain. Kor J Herbology. 2013;28(2):75-82. https://doi.org/10.6116/kjh.2013.28.2.75
  19. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine. 2.5th ed. Seoul: Korean Society of Chuna Manual Medicine for Spine & Nerves. 2017:4, 239-41, 249-50, 274-5, 302-10.
  20. Bak JW, Sim BY, Kum DH. The effects of Danggwisusan on restoration ability in wound induced animal models. Kor J Herbology. 2014;29(5):55-63. https://doi.org/10.6116/kjh.2014.29.5.55
  21. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 4th ed. Paju:Koonja Publishing. 2015:100, 404-6.
  22. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. The Korean Journal of Meridian & Acupoint. 2007;24(2):81-2.
  23. White A. Measuring pain. Acupunct Med. 1998;16(2):83-7. https://doi.org/10.1136/aim.16.2.83
  24. Pollard CA. Preliminary validity study of the pain disability index. Percept Mot Skills. 1984;59(3):974. https://doi.org/10.2466/pms.1984.59.3.974
  25. Beemster T, van Bennekom C, van Velzen J, Reneman M, Frings-Dresen M. The interpretation of change score of the pain disability index after vocational rehabilitation is baseline dependent. Health and Quality of Life Outcomes. 2018;16:182. https://doi.org/10.1186/s12955-018-1000-1
  26. Bengtsson J, Mollborg J, Werner S. A study for testing the sensitivity and reliability of the Lysholm knee scoring scale. Knee Surg Sports Traumatol Arthroscopy. 1996;4:27-31. https://doi.org/10.1007/BF01565994
  27. Crenshaw AH. Campbell's operative orthopedics, 8th ed. St. Lousi:Mosby Co. 1992:841-7.
  28. Joseph PI, Richard DP. The netter collection of medical illustrations; Musculoskeletal system, Part 2: Spine and lower limb. 2nd ed. Seoul:Elsevier Korea. 2015:158.
  29. Carpenter JE, Kasman R, Matthews LS. Fractures of patella. J Bone Joint Surg. 1993;75-A:1550-60. https://doi.org/10.2106/00004623-199310000-00016
  30. Kaufer H. Mechanical function of the patella. J Bone Joint Surg. 1971;53-A:1551-60. https://doi.org/10.2106/00004623-197153080-00007
  31. Donald AN. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 2nd ed. Seoul:Panmun Co. 2011:574.
  32. Kim JY, Lee IJ, Choi NY, Song SW, Koh HS. The treatment of neglected patellar fracture-report of 2 cases. J of Korean Orthop Assoc. 1991;26(1):298-303. https://doi.org/10.4055/jkoa.1991.26.1.298
  33. Choi JY, Shin HK, Won KJ. The results of operative treatment of severely comminuted fracture of the patella. J Korean Fracture Soc. 2001;14:390-7.
  34. Rockwood CA, Green DP, Bucholz RW. Rockwood and Green's fractures in adults. 4th ed. Philadelphia:JB Lippincott. 1996:1956-72.
  35. Park BC. Fracture of the patella. J Korean Fracture Soc. 1996;9:846-9. https://doi.org/10.12671/jksf.1996.9.4.846
  36. Weber MJ. Efficacy of various forms fixation of fractures of the patella. J Bone Joint Surg. 1980;62-A:215-20. https://doi.org/10.2106/00004623-198062020-00007
  37. Benjamin J , Bried J, Dohm M, McMurty M. Biomechanical evaluation of various forms of fixation of transverse patellar fractures. J Orthop Trauma. 1987;1:219-22. https://doi.org/10.1097/00005131-198701030-00004
  38. Berg EE. Open reduction internal fixation of displaced transverse patella fractures with figure-eight wiring through parallel cannulated compression screws.. J Orthop Trauma. 1997;11:573-6. https://doi.org/10.1097/00005131-199711000-00005

Cited by

  1. 골절에 침 치료를 적용한 2013년 이후 증례보고 문헌고찰 vol.31, pp.4, 2020, https://doi.org/10.18325/jkmr.2021.31.4.49