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Related Experiment Videos

Bone setter's gangrene.

S W Bickler1, B Sanno-Duanda

  • 1Department of Surgery, Royal Victoria Hospital, Banjul, The Gambia.

Journal of Pediatric Surgery
|October 29, 2000
PubMed
Summary
This summary is machine-generated.

Iatrogenic limb gangrene from traditional bone setters is a preventable issue in developing nations. Improved pediatric trauma care is crucial to reduce severe complications like amputation and death.

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Area of Science:

  • Pediatric Surgery
  • Trauma Care
  • Global Health

Background:

  • Limited data exist on trauma care complications in developing countries.
  • This study focuses on iatrogenic limb gangrene from traditional bone setters.

Purpose of the Study:

  • To highlight the morbidity and mortality associated with poor trauma care.
  • To present experience with bone setter's gangrene in children.

Main Methods:

  • Identified children with bone setter's gangrene from a pediatric surgery database.
  • Prospective data collection at a government referral hospital in The Gambia.

Main Results:

  • Nine children treated for bone setter's gangrene over 29 months.
  • 56% required proximal extremity amputations; 1 death from sepsis.

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  • Complications included chronic osteomyelitis and functional limb loss.

    • Conclusions:

    • Bone setter's gangrene is a preventable complication of inadequate pediatric trauma care.
    • Fracture management must be integrated into child health programs in developing countries.