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Year : 2015 Month : September Volume : 4 Issue : 71 Page : 12350-12353

TRADITIONAL BONESETTERS A CURSE TO ORTHOPAEDICS.

Nava Krishna Prasad1, B. Jaya Chandra Reddy2, L. Abhishek3, R. Katyayini4

1. Associate Professor, Department of Orthopaedics, Government Medical College, Ananthapuramu,
Andhra Pradesh.
2. HOD, Department of Orthopaedics, Government Medical College, Ananthapuramu, Andhra Pradesh.
3. Consultant Orthopaedic Surgeon, Department of Orthopaedics, Care and Cure Clinic, Ananthapuramu,
Andhra Pradesh.
4. Consultant Physician, Department of Orthopaedics, Care and Cure Clinic, Ananthapuramu, Andhra Pradesh.

CORRESPONDING AUTHOR

Dr. L. Abhishek,
Email : abheeshake_atp@yahoo.com

ABSTRACT

CORRESPONDING AUTHOR:
Dr. L. Abhishek,
Consultant Orthopaedic Surgeon,
Cure and Care Clinic,
#13-2-392-4,
Near RTC Bus Stand,
Ananthapuramu-515001
E-mail: abheeshake_atp@yahoo.com

ABSTRACT: OBJECTIVES: This study is to prove the morbidity and sufferings of the patients who underwent treatment by traditional bone setters and to enlighten the complications that arise from the treatments by local bone setters and hence the need of Health Education to the Public. METHODS: This is a prospective study of 30 cases with different Orthopaedic problems, treated by traditional bone setters, who presented to us with various complications for a period of 6 months i.e., from 1st January 2015 to 31st July 2015. CONCLUSION: Because of blind belief and negligence, patients are becoming disabled even for a small injury3,4. Morbidity and Sufferings of the patients can be decreased by proper education of the patients and creating awareness regarding Modern Orthopaedic Facilities.

KEYWORDS: Malunion, non-union, myositis ossifications, Volkman Ischaemic contracture.

ABSTRACT: INTRODUCTION:

  • This is a prospective study of 30 cases with different Orthopaedic problems, treated by traditional bone setters, who presented to us with various complications.
  • The study was conducted for a period of 6 months i.e., from 1st January 2015 to 31st July 2015.

OBJECTIVES:

  • To prove the morbidity and sufferings of the patients who underwent treatment by traditional bone setters.
  • To enlighten the complications that arise from the treatments by local bone setters and hence the need of Health Education to the Public.

MATERIALS AND METHODS:

 

Sex

No. of Cases

Males

14 Cases

Females

16 Cases

 

Treated in

No. of Cases

Government General Hospital

17

Care & Cure Clinic

13

Fractures

24 Cases

Dislocations

3 Cases

Soft tissue injuries

2 Cases

Others

1 Case

Treated

15 Cases

Unfit for surgery

6 Cases

Refused surgery

7 Cases

Referred

2 Cases

 

Age

No. of Cases

0-10 years

3 Cases

11-20 years

3 Cases

21-30 years

4 Cases

31-40 years

3 Cases

41-50 years

2 Cases

51-60 years

5 Cases

61-70 years

3 Cases

71-80 years

5 Cases

81-90 years

2 Cases

 

 

Results

No. of Cases

Malunion

11 Cases

Non-Union

10 Cases

Myositis Ossificans

5 Cases

Infections

2 Cases

Nerve Palsy

1 Case

Volksman Ischemic Contracture

1 Case

                              

 

UPPER LIMB INJURIES

 

Shoulder

2 Cases

Arm

3 Cases

Elbow

4 Cases

Fore arm

5 Cases

LOWER LIMB INJURIES

 

Hip

13 Cases

Thigh

1 Case

Leg

1 Case

Ankle

1 Case

 

 

Duration of Disease

No. of Cases

0-2 Weeks

4 Cases

2-4 Weeks

3 Cases

4-6 Weeks

8 Cases

6-8 Weeks

7 Cases

8-10 Weeks

1 Case

12-14 Weeks

2 Cases

16-18 Weeks

1 Case

20-24 Weeks

3 Cases

24-28 Weeks

1 Case

 

 

 

ILL - Treated Cases


Treated Cases


LIMITATIONS:

  • The limitation of this study is small sample size study from a single center hence significant conclusions could not be drawn. It did not include wide traditional bone setters centers.
  • The study did not consider the specific type of injuries and the specific type of traditional bone setters’ management modalities into consideration.

CONCLUSION:

  • If these patients have consulted Orthopaedicians earlier and followed their advice, the results would have been more promising.
  • Because of blind belief and negligence, patients are becoming disabled even for a small injury.
  • Morbidity and Sufferings of the patients can be decreased by proper education of the patients and creating awareness regarding Modern Orthopaedic Facilities.

REFERENCES:

1.    Complications of fracture treatment by traditional bone setters in Southwest Nigeria- OlaOlorun DA, Oladiran IO, Adeniran A, Fam Pract. 2001 Dec; 18(6):635-7.
2.    The Complications seen from the treatment by traditional bonesetters- B. Omololu, S.O. Ogunlade and T.O. Alonge. WAJM VOL 21 NO. 4, OCTOBER – DECEMBER, 2002.
3.    Hugh Owen Thomas:  Seven generations of bone setters: In a dictionary of the history of Medicine. Anton Sebastian. Parthenon Publishing Group, 1999-711.
4.    Complications of fracture treatment by Traditional Bonesetters at Hyderabad, The Journal of Pakistan Orthopaedic Association, August 2009, vol. 21 No. 2.




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