Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Complex Traditional Korean Medicine Treatment and Rehabilitation on Acetabular Fracture: A Case Report

  • Young Han Nam (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Choong Hyun Han (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Kyung Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Youn Young Choi (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Eun Sol Won (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hwa Yeon Ryu (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hyun Lee (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jae Hui Kang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2023.07.08
  • Accepted : 2023.08.11
  • Published : 2023.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This report presents the clinical progress of a 50-year-old male diagnosed with a left acetabular fracture and left rib fracture after falling from a height of 3 m. The patient was treated nonsurgically and underwent complex traditional Korean medicine (TKM) treatment and rehabilitation, including acupuncture, electroacupuncture, pharmacopuncture, bee venom, herbal medicine, physiotherapy, and moxibustion. Patient progress was assessed using the numerical rating scale (NRS), manual muscle test (MMT), and modified Harris Hip Score (mHHS). During 113 days of hospitalization, the NRS score decreased from 7 to 3, and the MMT grade increased to normal in the hip, knee, and ankle joints. The mHHS score increased from 26 to 99 points. Radiographs and computed tomography scans of the left acetabulum were obtained periodically, and fracture union was successfully achieved. To our knowledge, this is the first case report of complex TKM treatment and rehabilitation of acetabular fractures.

Keywords

References

  1. Sen RK, Veerappa LA. Long-term outcome of conservatively managed displaced acetabular fractures. J Trauma 2009;67:155-159. doi: 10.1097/TA.0b013e31819db092 
  2. Laird A, Keating JF. Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br 2005;87:969-973. doi: 10.1302/0301-620X.87B7.16017 
  3. Werner CM, Copeland CE, Ruckstuhl T, Stromberg J, Turen CH, Bouaicha S. Acetabular fracture types vary with different acetabular version. Int Orthop 2012;36:2559-2563. doi: 10.1007/s00264-012-1687-2 
  4. Lee SJ, Lee SH. Treatment of the acetabular fracture. Hip Pelvis 2013;25:158-165. doi: 10.5371/hp.2013.25.3.158 
  5. Tile M. Fractures of the acetabulum. Orthop Clin North Am 1980;11:481-506.  https://doi.org/10.1016/S0030-5898(20)31453-X
  6. Kim NH, Oh MS. Effect of Korean medicine treatments for pain reduction in patients with hip fracture: a retrospective observational study. J Physiol Pathol Korean Med 2020;34:263-268. doi: 10.15188/kjopp.2020.10.34.5.263 
  7. Ha HJ, Gu JH, Choi BS, Oh TY, Oh EM, Li YC, et al. A case report of Korean rehabilitation treatment and analysis of conservative treatment of pelvic fracture in Korea. J Korean Med Rehabil 2018;28:135-148. doi: 10.18325/jkmr.2018.28.2.135 
  8. Soderman P, Malchau H. Is the Harris hip score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res 2001;384:189-197. doi: 10.1097/00003086-200103000-00022 
  9. Ovre S, Sandvik L, Madsen JE, Roise O. Modification of the Harris Hip Score in acetabular fracture treatment. Injury 2007;38:344-349. doi: 10.1016/j.injury.2006.04.129 
  10. Lawrence DA, Menn K, Baumgaertner M, Haims AH. Acetabular fractures: anatomic and clinical considerations. AJR Am J Roentgenol 2013;201:W425-W436. doi: 10.2214/AJR.12.10470 
  11. Min BW, Lee KJ. Complications in patients with acetabular fractures treated surgically. J Korean Fract Soc 2008;21:341-346. doi: 10.12671/jkfs.2008.21.4.341 
  12. Kim WY. Treatment for the acetabular fracture. J Korean Hip Soc 2010;22:116-121. doi: 10.5371/jkhs.2010.22.2.116 
  13. Magu NK, Rohilla R, Arora S. Conservatively treated acetabular fractures: a retrospective analysis. Indian J Orthop 2012;46:36-45. doi: 10.4103/0019-5413.91633 
  14. Cacciola G, Aprato A, Branca Vergano L, Sallam A, Masse A. Is non-operative management of acetabular fracture a viable option for older patients? A systematic review of the literature for indication, treatments, complications and outcome. Acta Biomed 2022;92:e2021555. doi: 10.23750/abm.v92iS3.12544 
  15. Matta JM, Anderson LM, Epstein HC, Hendricks P. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res 1986;205:230-240.  https://doi.org/10.1097/00003086-198604000-00029
  16. Han JS. Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies. Trends Neurosci 2003;26:17-22. doi: 10.1016/s0166-2236(02)00006-1 
  17. Nakajima M, Inoue M, Hojo T, Inoue N, Tanaka K, Takatori R, et al. Effect of electroacupuncture on the healing process of tibia fracture in a rat model: a randomised controlled trial. Acupunct Med 2010;28:140-143. doi: 10.1136/aim.2009.001800 
  18. Bang S, Ryu M, Kim J, Wei T, Yun D, Yun Y, et al. Effects of Radix aconiti herbal acupuncture injected at Hwando (GB30) on neuropathic pain in rats. J Korean Acupunct Moxibustion Soc 2009;26:67-76. 
  19. Lee MS, Pittler MH, Shin BC, Kong JC, Ernst E. Bee venom acupuncture for musculoskeletal pain: a review. J Pain 2008;9:289-297. doi: 10.1016/j.jpain.2007.11.012