Article: AN AYURVEDIC APPROACH IN THE MANAGEMENT OF NONUNION ULNAR SHAFT FRACTURE: CASE REPORT

Article Category: Case Reports

DOI: 10.7897/2277-4343.16247

Pages: 75-78

Author: Jaya Shankari S *, Sangeetha R, T. Udaya Kiran, Arya S Menon

Abstract: Introduction: The human skeleton possesses extraordinary regenerative capabilities, making it one of the rare structures in the body that can repair itself by restoring its typical cellular composition, arrangement, and mechanical strength. When the healing process of a broken bone is unsuccessful due to insufficient immobilization, unsuccessful surgical treatment, inadequate biological response, or infection, the result after an extended duration of no healing is termed non-union. Non-union signifies a lasting medical condition that not only influences function but also may adversely affect the person's psychosocial and economic health. Methodology: In the PG department of Shalya Tantra, a female patient arrived complaining of weakness, edema, and discomfort in her right forearm. In March 2023, she became connected with RTA. Her concerns and the findings of her previous X-rays led to the identification of the right ulnar nonunion. The patient has been experiencing pain, stiffness, and loss of function for the past eight months as a result of post-fracture sequelae. Ayurvedic conservative therapy has been used to improve the patient's quality of life. Result: Significant progress was observed with the use of internal and external Ayurvedic therapies, which effectively supported callus formation at the ulnar shaft fracture site. After a few sittings of treatment, improvement has been noticed, with swelling reduced by 80% and pain reduced by 90%. Discussion: When the normal healing process is disrupted, leading to delayed union or nonunion. Ayurvedic treatments, both internal and external, have shown potential in supporting fracture healing by promoting tissue regeneration, enhancing circulation, and reducing inflammation. Ayurveda plays a supportive role in stimulating callus formation, particularly in complex cases like non-union of the ulnar shaft.

Keyword: Anulbana bhagna, Ayurveda, Annalepam, Fracture, Non-union, Rehabilitation.