Application of Fuyuan Huoxue decoction after anterior cruciate ligament reconstruction of knee joint
WU Ya-mei,ZHANG Yan,XIA Yan-ling
Tangshan Second Hospital Orthopaedics, Tangshan063000, China
Abstract:
Objective To investigate the effects of Fuyuan Huoxue decoction combined with functional exercises on the impulse, PT, and TW in the affected foot areas of patients who have undergone anterior cruciate ligament reconstruction surgery. Methods This prospective study enrolled 115 patients with anterior cruciate ligament (ACL) rupture who underwent anterior cruciate ligament reconstruction (ACLR) between July 2023 and July 2024 at our hospital. Participants were randomly assigned to a control group (57 cases) or an observation group (58 cases) using a randomized number table. The control group received only functional exercise therapy, while the observation group received a combination of Fuyuan Huoxue decoction and functional exercise therapy. Both groups underwent treatment for 8 weeks.The Lysholm score, the percentage of the impact on the forefoot, midfoot, and the medial and lateral heel, and the PT, TW, AP, and MRTW of the flexor and extensor muscles of the knee were compared between the two groups before and after the intervention. Results No statistically significant differences were observed in baseline parameters between the two groups (P >0.05). Post-intervention, the Lysholm score in the observation group (82.67±12.89) was significantly higher than that in the control group (72.64±13.45) (P <0.05). The observed group showed significantly lower impulse percentages in the affected forefoot area (9.48%±1.71%) and midfoot area (9.26%±1.55%) compared to the control group (10.42%±1.72%) and (11.72%±1.84%), respectively. Conversely, the observed group exhibited significantly higher impulse percentages in the medial heel (19.48%±2.64%) and lateral heel (18.26%±3.55%) compared to the control group (15.42%±2.28%) and (15.72%±2.84%) (P <0.05). Both groups demonstrated significant improvements in flexor/extensor muscle parameters (PT, TW, AP, MRTW) compared to baseline levels, with the observation group showing superior performance across all metrics (P <0.05). Conclusion Fuyuan Huoxue decoction combined with functional exercises can improve the impulse, PT, and TW in the affected foot areas of patients who have undergone anterior cruciate ligament reconstruction surgery.
