EVALUATION OF COMBINED EFFECT OF ARJUNA KSHEERAPAKA AND POSTERIOR SLAB WITH STANDARD OF CARE IN RADIUS FRACTURE: A COMPARATIVE CLINICAL TRIAL

Abstract

Introduction: Bone healing is a complex process of tissue recapitulation which requires various anatomical and biomechanical processes in a well-orchestrated manner. Radius fractures account for 25% of fractures in the paediatric population and 18% in the elderly. Its treatment ranges from closed reduction and immobilisation to complex operative treatments. Ancient ayurvedic literature and various pharmacological studies deciphered the use of Terminalia arjuna in the bone healing process. Materials and Methods: The study aims to analyse the bone healing effect of Arjuna k??rap?ka along with its effectiveness in reducing pain, swelling, tenderness, deformity and loss of function in a sample of 30 patients. Patients were recruited into two groups, with 15 patients in each group. Assessments were done before treatment, on the 30th day and after treatment. Result and Discussion: The clinical assessments after treatment showed that 80% got a complete cure in the group treated with Arjuna KSHEERAPAKA, while the standard treatment group only had a 53.3% cure rate. The combination of KSHEERAPAKA with Arjuna increases the bioavailability of active principles of Arjuna. Casein helps for easy delivery of active principles of Terminalia arjuna. Active principles of Terminalia arjuna, like tannins, help with bone tissue regeneration. Hence Terminalia arjuna is excellent for its osteo-potential activity, especially as milk preparation. Conclusion: The combined use of Arjuna KSHEERAPAKA and the POP posterior slab was more significant than the standard care alone in the healing of radius fracture in callus formation and mobility between fragments.