蒙医整骨术治疗踝关节骨折概述

Overview of Treatment of Ankle Fracture with Mongolian Medicine and Osteotomy

摘要: 踝关节骨折作为高发损伤，多见于老年人群，常因长期卧床引发血栓、骨质疏松及心脑血管并发症。蒙医整骨术以整体观和自然疗法为核心，通过“喷酒捋抚–手法复位–外(自)固定–及早锻炼”四步疗法治疗踝关节骨折，兼具创伤小、成本低、功能恢复快的优势。本文系统综述踝关节骨折分型及蒙医整骨术的理论基础与技术特点，结合《甘露四部》《蒙古族整骨学》等古籍记载，证实其以调节三根七素平衡、筋骨并重为原则。临床研究显示：蒙医整骨术治疗闭合性踝关节骨折的优良率达91%~95.31%，配合蒙药熏蒸可进一步促进功能恢复，疗效显著优于单一功能锻炼或部分手术方案。该方法尤其适用于老年患者及非复杂骨折，为踝关节骨折提供了一种安全有效的非手术选择。

Abstract: As a common injury, ankle fractures predominantly affect elderly populations and are often associated with complications such as thrombosis, osteoporosis, and cardiovascular issues caused by prolonged bed rest. Mongolian osteomodulation therapy, grounded in holistic principles and natural healing approaches, employs a four-step treatment protocol: “spraying medicinal wine, manual manipulation, manual reduction, external (self) fixation, and early rehabilitation exercises” for ankle fracture management. This method offers advantages including minimal invasiveness, cost-effectiveness, and rapid functional recovery. This systematic review examines the classification of ankle fractures and the theoretical foundations and technical characteristics of Mongolian osteomodulation therapy. Drawing from classical texts like Ganlu Sibu and Mongolian Osteology, it confirms the therapeutic approach’s core principles of regulating the balance between three root meridians and seven zang-fu organs while emphasizing both tendon and bone conditioning. Clinical studies demonstrate that Mongolian osteomodulation achieves excellent outcomes (91%~95.31%) in treating closed ankle fractures. When combined with herbal steam therapy, it significantly enhances functional recovery, outperforming standalone exercises or partial surgical interventions. Particularly suitable for elderly patients and non-complicated fractures, this method provides a safe and effective non-surgical option for ankle fracture management.