ZHAO Xue, LU Dongxue. Nursing Experience of Integrated Traditional Chinese and Western Medicine in Postoperative Care for a Patient with Ankle Fracture: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI:
ZHAO Xue, LU Dongxue. Nursing Experience of Integrated Traditional Chinese and Western Medicine in Postoperative Care for a Patient with Ankle Fracture: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.DOI: 10.12209/CAIM202606030005.
Nursing Experience of Integrated Traditional Chinese and Western Medicine in Postoperative Care for a Patient with Ankle Fracture: A Case Report
Ankle fracture is a common traumatic condition in clinical practice, frequently caused by external forces such as falls during daily activities or traffic accidents. Standardized postoperative nursing care is of vital importance for the recovery of joint function in affected patients. This article retrospectively analyzes the complete nursing process of a patient undergoing open reduction and internal fixation (ORIF) for ankle fracture, and summarizes the clinical nursing experience across multiple dimensions, including postoperative pain management, wound care, stepwise functional exercise, complication prevention, and psychological intervention. Addressing the core concern of postoperative limb swelling, an individualized nursing protocol integrating Traditional Chinese Medicine (TCM) and Western medicine was formulated. The patient demonstrated a favorable overall postoperative recovery, without the occurrence of related complications such as surgical site infection, deep vein thrombosis (DVT), or joint stiffness, and ultimately achieved a satisfactory rehabilitation outcome. This clinical case suggests that scientific and systematic postoperative nursing interventions can effectively promote functional recovery in patients with ankle fracture and further enhance their long-term quality of life.
Wang K , Fu Y , She X J , et al . Loads on joints of lower extremities when walking along different slopes or under different weights [J]. Mil Med Sci , 2022 , 46 ( 7 ): 493 - 498 . (in Chinese)
Tao Y , Xu Y H , Guo Y L , et al . Observation on the application effect of traditional Chinese medicine nursing combined with rehabilitation exercises after ankle fracture surgery [J]. Electron J Foot Ankle Surg , 2025 , 12 ( 1 ): 44 - 48 . (in Chinese)
Wan L , Zhao Q , Chen J , et al . Expert consensus on the application of pain evaluation questionnaires in China(2020) [J]. Chin J Painology , 2020 , 16 ( 3 ): 177 - 187 . (in Chinese)
Li L , Zhang M , Zhao X X . Effect of early warning nursing of Caprini score on postoperative deep venous thrombosis in patients with traumatic fracture of lower limbs [J]. J Baotou Med , 2025 , 49 ( 1 ): 78 - 80 . (in Chinese)
Yang Z Y , Liu J , Xiao L N , et al . Application status and implementation barriers of Caprini Risk Assessment Model in Venous Thromboembolism prevention of surgical patients [J]. Chin Nurs Manag , 2026 , 26 ( 1 ): 146 - 151 . (in Chinese)
Su S S , Lin L M , Chen X Y , et al . Effect of shangke jiegu tablets combined with dexamethasone on postoperative pain, ankle joint function and swelling degree in patients with ankle fractures [J]. Prog Mod Biomed , 2025 , 25 ( 21 ): 3420 - 3427 . (in Chinese)
Zhang W N . Application effect analysis of Chinese medicinal wet compress combined with anticoagulant nursing in perioperative period of ankle fracture [J]. Int Med Heal Guid News , 2025 , 31 ( 11 ): 1601 - 1604 .
Foot and Ankle Basic Science and Orthotics Group , Orthopedic Society of the Chinese Medical Doctor Association ; Foot and Ankle Surgery Group , Orthopedic Branch of Shanghai Medical Association ; Foot and Ankle Surgery Specialty Alliance , National Orthopedic Medical Center , Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine , et al . Consensus of Chinese experts on early weight-bearing after ankle fracture surgery based on enhanced recovery after surgery principles(2025) [J]. Chin J Orthop Trauma , 2025 , 27 ( 1 ): 7 - 14 . (in Chinese)
Zhang J S . Therapeutic effect of traditional Chinese medicine combined with Qingpeng ointment on postoperative swelling and pain of limb fracture [J]. China’s Naturopathy , 2022 , 30 ( 13 ): 31 - 34 . (in Chinese)
Shao Y J , Yin J L , Yang J L . Dynamic feedback function training combined with early Chinese Medicine Sloughing for patients with ankle fracture after operation [J]. Int Med Heal Guid News , 2020 , 26 ( 20 ): 3107 - 3109 . (in Chinese)
Ning X M , Liu J H , Liu L , et al . Improvement effects of ZHENG’s Traumatology No.1 Fumigation-Washing Decoction combined with tuina manipulation on postoperative pain symptoms as well as foot and ankle function in patients with ankle fractures [J]. J Hunan Univ Chin Med , 2025 , 45 ( 12 ): 2427 - 2434 . (in Chinese)
He W . Application effect of external application of traditional Chinese medicine in perioperative nursing of patients with internal and external ankle fractures [J]. Adv Clin Med , 2025 ( 6 ): 1562 - 1568 . (in Chinese)
Pan Y L , Huang X L . Clinical effect of Jiegu Qili tablet combined with traditional Chinese medicine on radial fracture [J]. J Med Theory Pract , 2024 , 37 ( 11 ): 1867 - 1869 . (in Chinese)
Wang X , Li Y . Clinical efficacy of herbal fomentation combined with standardized nursing for postoperative swelling after ankle fracture ORIF [J]. J Tradit Chin Med Sci , 2023 , 10 ( 3 ): 289 - 295 .
Nursing Experience in Treating Post-Stroke Hemiplegic Limb Swelling Using Fire Dragon Cupping Combined with Superficial Acupuncture Based on Yellow Emperor's Inner Classic Theory
Nursing Experience of Traditional Chinese Medicine Collapse-Damp Therapy for Limb Swelling and Pain in a Patient After Transradial Coronary Angiography
Nursing Report on Eight-Section Brocade-Specific Hand Posture Training Combined with Conventional Rehabilitation for Functional Reconstruction After Proximal Interphalangeal Joint Surgery: A Case Study
Nursing Practice of Herbal Fumigation Combined with Personalized Functional Exercise in Promoting Joint Function Recovery of a Patient after Ankle Fracture Surgery
Nursing Experience in Treating One Case of Cervical Spondylosis with Qi Stagnation and Blood Stasis Pattern Using Cupping Therapy Combined with Herbal Ointment Massage
Related Author
LI Zhonghui
XIE Xin
WANG Yanhong
LI Dongfang
WU Yuping
LI Congcong
DING Changyu
ZHAO Yanyan
Related Institution
Department of Cerebrovascular Disease, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine; National Clinical Research Center for Traditional Chinese Medicine
Department of Cardiovascular Medicine, Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine
Department of Nursing, Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine
Department of Outpatient, Yuquan Hospital, Tsinghua University (Tsinghua University Hospital of Integrated Chinese and Western Medicine)
Department of Nursing, Yuquan Hospital, Tsinghua University (Tsinghua University Hospital of Integrated Chinese and Western Medicine)