The Synergistic Effect of Traditional Chinese and Western Medicine Rehabilitation Program on the Recovery of Hip Joint Function after Intertrochanteric Fracture Surgery

To explore the effect of the integrated Chinese and Western medicine rehabilitation program after intertrochanteric fracture surgery and its synergistic effect on the recovery of hip joint function 12 weeks after surgery. Methods: A total of 60 patients who underwent Treatment of intertrochanteric fractures with closed reduction and PFNA internal fixation from June 2024 to January 2025 were selected and randomly divided into two groups with 30 cases in each group by envelope method. The control group received conventional rehabilitation training of western medicine, and the observation group received the rehabilitation program of traditional Chinese medicine. The effects of the two groups were evaluated after 12 weeks of intervention. The Chinese medicine syndrome scores, visual analog pain (VAS) score, Harris hip function scores and complication rates were compared between the two groups. Results: The TCM syndrome scores of the two groups decreased after intervention. The scores of pains, hip swelling and Purple ecchymosis and VAS in the observation group were lower than those in the control group (P<0.05). The hip function of the two groups was improved after intervention. The scores of Harris hip function in the observation group were higher than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). Conclusion: The rehabilitation program combining traditional Chinese and western medicine has a good effect after intertrochanteric fracture surgery, can reduce the score of traditional Chinese medicine syndrome, improve hip joint function, help reduce the incidence of complications, play a synergistic role, and is worthy of promotion and application.
Keywords: Integration of Traditional Chinese and Western Medicine, Rehabilitation Program, Intertrochanteric Fracture, Hip Joint Function, Synergistic Effect

Intertrochanteric fracture is a common orthopedic disease in the elderly. Its incidence is increasing with the aging of the population. Elderly patients are often accompanied by underlying diseases such as hypertension, coronary heart disease and diabetes due to their older age. The surgical risk is high, and the incidence of postoperative complications can reach 30.0%-40.0%, which seriously threatens the life and health of patients [1]. Although conventional postoperative rehabilitation exercises can consolidate the treatment effect and improve the patient's hip joint function, they require a high degree of patient cooperation and lack systematic guidance on postoperative functional training, making it difficult to meet modern rehabilitation needs. Fractures belong to the category of "bone fracture and tendon injury", and the pathogenesis is "liver and kidney deficiency, tendon and bone malnutrition". Postoperative rehabilitation emphasizes "early blood circulation and blood stasis removal, mid-term bone and tendon repair, and late liver and kidney tonification". Through TCM rehabilitation intervention, meridians can be unblocked, local microcirculation can be improved, and callus formation can be promoted [2]. It can be seen that TCM regulates the function of internal organs from a holistic perspective, improves the patient's physical condition, and provides internal environment support for rehabilitation. Western medicine uses minimally invasive surgery and precise rehabilitation technology to quickly restore bone structure and motor function. The combination of the two can form a complete treatment chain of "internal regulation of metabolism-external structural consolidation-functional compensation" [3]. This study aims to explore the effect of the combined Chinese and Western medicine rehabilitation program after intertrochanteric fracture surgery and its synergistic effect on the recovery of hip joint function 12 weeks after surgery.