OPEN REDUCTION AND INTERNAL FIXATION BY A TRADITIONAL BONE SETTER AND QUACKS - A CASE REPORT AND REVIEW OF LITERATURE
DOI:
https://doi.org/10.47941/ijhmnp.831Keywords:
Open reduction, traditional bone setters, quacksAbstract
Purpose: Open reduction and internal fixation of fractures is surgical procedure guided by standard principles and often performed by Orthopaedic specialists. Unfortunately, some quacks now dabble into performing these complex procedures resulting in several complications. However, it has becoming a serious public health concern in that a traditional bone setter in collaboration with some health workers (quacks who were community health extension workers) engaged in performing an open reduction and internal fixation for a femoral fracture in our index patient with very severe complications.
Methodology: We present this case of open reduction and internal fixation by traditional bone setters and quacks to illustrate the extent of malpractices by traditional bone setters aided by quacks who have either been assisting Orthopaedic surgeons in the theatre or have been watching these procedures as they are frequently been carried out in the operating room.
Results: This index patient, a university undergraduate presented via our outpatient clinic having been mismanaged by a traditional bone setter in collaboration with a Community health extension work. An informed consent was duly taken from the patient concerning the reporting of the case and he was fully clerked, investigated and managed until he left against medical advised due to financial constraints.
Unique contribution to theory, practice and policy: We strongly recommend legislation and enforcement of laws that restrict traditional bone setters to limit their practices within their capacities under supervision if they must be allowed for any reason to practice management of simple fractures. The Community Health Extension Workers(CHEW) are to be under strict regulation by the Medical councils to prevent this unwholesome practices.
Downloads
References
Collinge CA,Wiss DA. Distal femur fractures.Tornetta P III,Ricci WM,Ostrum RF.McQueen MM, Mckee MD, Court-Brown CM,eds. Rockwoodand Green’s fractures in Adults. 9th ed.Philadelphia: Wolters Kluwe,2020.Vol2:Chap 57
Abang,IE, Asuquo JE, Ngim EN,Ikpeme AI,Agweye PU, Anisi C, et al. Reason for patronage of bone setter.NJS,2016;22(2): 102-106
Green SA (1999a) Orthopaedic surgeons: inheritors of tradition. Clin. Orthop. 6(363): 258–263
R. Biber, S. Gruninger, K. Singler, C. Sieber, H. Bail
Is proximal femoral nailing a good procedure for teaching in orthogeriatrics?
Arch Orthop Trauma Surg, 132 (2012), pp. 997-1002
Howard A. ,Giannoudis P.V. Proximal femoral fractures: issues and challenges. Injury. 2012; 43: 1975-1977
Putri Liana Warman, Yoyos Dias Ismiarto, Undang Ruhimat.Complications of treatment by traditional bone setters in West Java Indonesia. Althea Medical Journal 2018;5(1)
Dada A, Giwa S, Yinusa W, Ugbeye M, Gbadegesin S. Complications of treatment of musculoskeletal injuries by bone setters. West Afr J Med. 2009;28(1):333–7.
Ekere A, Echem R. Patronage of traditional bone setters for musculoskeletal conditions: A one-year study. Port Harcourt Med J. 2012;6(2):215–24.
Ogunlusi DO, Ikem IC, Oginni LM. Why Patients Patronize Traditional Bone Setters. The Internet Journal of Orthopedic Surgery 2007;4(2).
Zameer Ali,Suhail M Vakil,Tauseef A Bhat, Shabir A Dhar,Lubna Khurshid, Aabid H Sofi. Treatment from quacks still an issue of concern:Orthop Muscular System.2016: 5(2)
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.
