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Updated: Jul 14, 2026
08:16
High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
Published on: March 16, 2022
Bone setters' gangrene
1Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
Summary
Traditional bone setters (TBS) often cause gangrene due to tight splintage, leading to high amputation rates. Expanding orthopaedic care and educating TBS are crucial to prevent these severe complications.
Area of Science:
- Orthopaedic Surgery
- Trauma Management
- Public Health
Background:
- Prolonged pressure from tight splintage by traditional bone setters (TBS) is a primary cause of gangrene.
- Complications include blisters, pressure sores, Volkmann's ischaemia, Crush syndrome, and pregangrene, varying with pressure and splintage duration.
Discussion:
- This review broadens the definition of bone setters' gangrene to encompass all pressure-induced complications.
- It examines the aetiology, pathophysiology, and treatment of these conditions, drawing on global institutional experiences.
Key Insights:
- High amputation rates (57-77.8%) and mortality (11.1-26.7%) are reported in various health institutions due to bone setters' gangrene.
- Education of traditional bone setters is frequently suggested as a primary solution.
Outlook:
- A paradigm shift is needed, moving beyond education to actively condemning traditional bone setters' practices.
- Expanding access to comprehensive orthopaedic care is essential for long-term prevention and management.
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