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The practice of traditional bonesetting: training algorithm.
A B Omololu1, S O Ogunlade, V K Gopaldasani
1Department of Surgery, University College Hospital, Ibadan, Nigeria. bade57@gmail.com
Clinical Orthopaedics and Related Research
|July 10, 2008
Summary
Traditional bonesetters (TBS) in Nigeria manage most fractures, often before hospital care. Training TBS in evidence-based fracture management is crucial to improve patient outcomes and reduce complications.
Area of Science:
- Orthopedic Surgery
- Medical Anthropology
- Public Health
Background:
- Traditional bonesetters (TBS) are a significant part of Nigeria's healthcare system for fracture management.
- Up to 85% of fracture patients initially seek care from TBS, highlighting their importance.
Observation:
- A study documented current TBS practices in Ibadan, Nigeria.
- Practices have seen minimal change, with spiritual healing methods now used for open comminuted fractures.
- No scientific basis was found for these spiritual healing techniques.
Findings:
- Traditional bonesetter practices in fracture management remain largely unchanged over 28 years.
- The integration of spiritual healing for complex fractures lacks scientific validation.
- There is a clear need for education and training of TBS.
Implications:
- Training TBS in orthodox orthopedic principles is essential to minimize fracture mismanagement.
- Collaboration between TBS and orthopedic surgeons can improve patient care.
- A proposed training algorithm aims to enhance TBS services and patient outcomes.
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