FREQUENCY OF COMPLICATIONS AMONG TRAUMA PATIENTS TREATED BY TRADITIONAL BONE SETTERS
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Keywords
Frequency, Complications, Trauma, Traditional bone setters
Abstract
Background: Traditional bone setter's (TBS) treatment is skill and due to lack of public attention and non-availability of modern facilities has survived more than 3,000 years. Traditional bone-setters also having a support of all classes of our community from the illiterate to the extremely knowledgeable society. In most communities, there is a general conviction that TBS is better than Orthopaedic practitioners in fractural treatment.
Objective: This study was done to determine the frequency of complications among trauma patients treated by traditional bone setters
Materials and methods: This cross sectional multi-centre study was conducted at Department of Orthopaedics and Trauma, Qazi Hussain Ahmed Medical complex nowshera and other private medical centers of Peshawar Pakistan, from November 2021 to December 2022. All the patients who presented with mismanagement done by quacks in Orthopaedic outdoor clinic were recruited for the study from November 2021 to December 2022. Their age, gender, type and site of injury, type of TBS management and its complication were recorded in a predesigned proforma. The obtained data was analyzed using SPSS version 23.0 software.
Results: In the current study, a total of 100 patients were enrolled. There were 75 (75%) males and 25 (25%) female patients in our study. Based on methods of treatment, 72 (72%) were treated by sticks and bandages, 25 (25%) were treated by tight bandages while only 3 (3%) patients were treated by massage. Based on the complications, 25 (25%) patients has joint stiffness, 18 (18%) has developed Volkmann's Ischaemic Contracture, 16 (16%) patients developed gross swelling of the limb and 13 (13%) patients has skin necrosis.
Conclusion: Our study revealed that the management of trauma patients by traditional bone setters, primarily due to their limited expertise, often results in grave complications.
References
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Sardar Sohail Afsar
Chairman and Associate Professor, Nowshera Medical College and Qazi Hussain Ahmed Medical Complex, Nowshera
Muhammad Gulzar khan
Assistant Professor Orthopaedic Department, Jinnah Teaching Hospital, Peshawar
Yaqoob Ur Rehman
Assistant Professor Orthopedic and Traumatology Unit, Qazi Hussain Ahmad Medical Complex Nowshera Medical College Nowshera