Abstract: Objective To evaluate and systematically analyze the practical effect of self-made Gushang No.1 ointment combined with small splint external fixation in the treatment of elderly patients with distal radius fractures, so as to guide clinical practice. Methods From January 2019 to January 2020, there were 84 patients with distal radius fractures in Zhanjiang Second Hospital of Traditional Chinese Medicine. The patients were divided into two groups with 42 cases in each group by random odd and even number method. The treatment mode of the control group was routine bonesetting reduction, while the observation group was treated with the combination of self-made Gushang No.1 ointment and small splint external fixation. The curative effect, complications, fracture reduction and other related indexes were compared between the two groups. Results The total effective rate of treatment in the observation group was higher than that in the control group, with significant difference (P<0.05). The total complication rate of the observation group was lower than that of the control group (P<0.05). After 3 months of treatment, the difference of ulnar and radial height and the angle of radius ulnar deviation in the observation group were higher than those in the control group, but the angle of radial palm inclination was lower than that in the control group, with significant difference (P<0.05). After 3 months of treatment, the quality of life score in the observation group was higher than that in the control group, and the data difference was significant(P<0.05). After 3 months of treatment, platelet count, thrombin time, prothrombin time, bone mineral density of radius, bone-derived alkaline phosphatase, type Ⅰ procollagen hydroxyl end anterior fetus and osteocalcin in the observation group were significantly higher than those in the control group (P<0.05). Conclusion For the treatment of distal radius fractures in the elderly, the self-made Gushang No.1 ointment combined with small splint external fixation in our hospital can improve the clinical treatment effect, reduce complications, improve the quality of life, improve the height difference between ulna and radius, the ulnar deviation angle of radius, the inclination angle of radius palm, platelet count, thrombin time and other related treatment indexes. It is worthy of clinical application.

Key words: sistal radius fracture, self-made Gushang No.1 ointment, small splint external fixation, clinical effect