Objective To evaluate the clinical curative effect and safety of application of Jiegu pill in the conservative treatment of patients with middle clavicle fracture.Methods Fifty-four cases of patients with middle clavicle fracture were randomly divided into the control group and treatment group,27 cases in each group.Two groups of patients were treated with conservative treatment,the control group was given Jiegu Qili Pian1.5g,bid,oral; the experimental group was treated with Jiegu pill 3.0g,bid,oral.Before and after treatment,compared between the two groups of patients with serum Osteocalcin(BGP),total type I collagen amino terminal peptide(TPINP),alkaline phosphatase(ALP)levels,efficiency of treatment and incidence of adverse reactions.Results After treatment,compared with the control group,the serum levels of BGP、TPINP and ALP were higher in the experimental group(P<0.05).The treatment efficiency of the experimental group(96.29％)was significantly higher than that of the control group(77.78％)(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion The Jiegu pill can significantly improve the serum levels of BGP、TPINP and ALP in patients with middle clavicle fracture,promote fracture healing,the clinical efficacy and safety were high.

Objective To investigate the clinical efficacy of locking proximal humeral plate (LPPH) in curing senile proximal humerus fractures. Methods According to different forms of treatments, 40 cases of senile proximal humerus fractures in our hospital from June 2011 to June 2013, were divided into the observation group and the control group. The observation group accepted LPPH treatment, and the control group underwent conventional plate treatment, and the efficacy of the two groups was compared. Results Pain scores and activity scores of the patients after 6 months and 12 months were significantly lower than those of the control group,and there was a significant difference between good rates. Complication rate in the observation group was significantly lower than that of the control group,with statistically significant difference(P<0.05). Conclusion The efficacy of the treatment of shortened proximal humerus plate in senile proximal humerus fractures is remarkable. Locking proximal humerus plate has light pain, good functional recovery,fewer complications and other advantages,so it is worthy of clinical application.