Background and purpose
Fracture refers to a state in which the continuity of a bone, bone plate, or a joint surface is completely or incompletely lost. Fractures can occur in everyone regardless of age. It is a disease that patients feel uncomfortable in that fractures can greatly interfere with their daily performance. In particular, fractures in the elderly may be slow to recover and may not be able to recover to their previous condition, which may also affect their lives. According to the World Health Organization (WHO), due to aging, the number of patients with hip fractures is expected to increase to 6.3 million by 2050. Since the number of fracture patients is steadily occurring, and the number of elderly fracture patients who need delicate treatment and rehabilitation is expected to increase, the socioeconomic cost accordingly is also expected to be significant. Although a considerable number of Korean medical fracture treatment methods have been developed and implemented, objective indicators are insufficient due to various treatment tools and insufficient number of studies. Accordingly, in order for Korean medical treatment to contribute to fracture treatment and public health promotion, it is necessary to develop systematic and high-quality clinical treatment guidelines.
Therefore, the standard clinical treatment guidelines for fracture were developed to provide objective indicators for diagnosis and treatment decisions of Korean medicine doctors at the clinical site, and to provide information that helps patients improve credibility in Korean medicine and recover symptoms. Through this guideline, it is believed that clinicians will be able to obtain information on how to diagnose fractures, Western medical diagnosis and treatment, and how to utilize Korean medical intervention. In addition, information on post-management of fractures will enable both clinicians and patients to acquire methods for recovery and rehabilitation. Through this, it was ultimately aimed to improve national health through improving the quality of medical services, and in addition, it was intended to increase objectivity and trust in Korean medicine treatment.
Overview of disease
Fracture refers to the complete or incomplete loss of continuity on the bone, bone plate, or joint surface, and usually occurs after trauma with strong external force applied to the bone. It is classified according to the location of occurrence on KCD, and falls under the categories M48.4, M80, M84, M90.7, M96.6, S02, S12, S22, S32, S42, S52, S62, S72, S82, S92, T02, T08, T10, T11, and S22. In order to diagnose a fracture effectively, it is necessary to determine the anatomical location of the fracture, the direction of the fracture line, the number of fractures, and whether soft tissue is damaged. The healing process of fractures is histologically divided into three stages: inflammatory, restorative, and reformation.
As for the classification of fractures, there is a taxonomy for each area, and the AO/OTA taxonomy is a commonly used taxonomy. The number of fractures and the shape of the fracture line are the criteria for classifying fractures, and depending on the number of fractures, it can be divided into transverse, diagonal, spiral, and longitudinal fractures.
In oriental medicine, fractures are regarded as falls(落傷), bruises(打撲), contusion(跌撲), and fractures(折傷), and fall into the categories of Sinheo(腎虛) and Eohyeol(瘀血). In addition, the bone is associated with Sin(腎主骨) and it is considered that the lesion of the bone is closely related to the physiological action of the kidney or bone marrow. In modern Korean medicine clinical trials, fractures are treated in connection with Eohyeol(瘀血), because if fractures occur, bones, soft tissues, surrounding blood vessels, and nerves are damaged, so the operation of Qi(氣) and Hyeol(血) become stiff. Accordingly, pain-oriented treatment is performed by introducing the concept of Eohyeol(瘀血) to pain. In addition to basic Korean medical treatment interventions such as acupuncture and herbal medicine, various treatment methods such as acupuncture, exercise therapy, and band training are used to recover fractures and improve pain.
Specifically, the oriental medical treatment methods for fractures include acupuncture, moxibustion, herbal medicine, herbal acupuncture, Chuna, Maeseon, and cupping. Each treatment method can be used alone or in parallel depending on the severity of the patient, the symptoms, the duration of disease, and the presence or absence of drug treatment.
Fractures are a disease in which recovery and rehabilitation are important, and if they do not undergo an appropriate recovery process, complications such as incongruity, bone necrosis, and early arthritis may occur. In addition, active treatment and management are important because fractures in areas close to major human organs such as hip joints can lead to death. Prevention methods for fractures include increasing bone density, preventing falls by controlling the daily living environment, avoiding excessive exercise, or preparing the body by stretching before exercise.
