Do Traditional Bone Setters Have a Role in Modern Fracture Management?
The role of traditional bone setters (TBS) in fracture management is contentious because of the complications that result from their practice. Despite the recommendations from World Health Organization for integrative fracture treatment there is scarcity of documented opinion of doctors on this often controversial practice. This study aims to determine the knowledge, attitude and practice of doctors in Benue state of Nigeria as regards traditional bone setting. A cross sectional study was carried out involving medical doctors during a continuous medical education program. A self-administered questionnaire was given to each participant after obtaining permission and explaining to the members the purpose of the study. The questions were on demographic information of the participant as well as knowledge, attitude and practice as regards traditional bone setting. Results showed that there were 99 respondents consisting of 94 males and 5 females giving a ratio of 18.8:1. Most of them were within the age range of 31-40 years constituting 39(39.4%). Resident doctors were 37(37.4%). Others were House officers 2(2%), Youth corps 5(5.1%), private practitioners 31(31.3 % ) and public hospital consultants 24 ( 24.2 %). Majority agreed or strongly agreed that TBS has been in existence before orthodox practice 86( 87.9% ), it is influenced by cultural, religious and fetish practices as well as beliefs of the people 89(89.9). Ninety seven (98%) agreed that TBS leads to complications. However, 14(14.1 %) agreed that they would allow a TBS to co-manage a patient with them. Most of them 95(96%) agreed that TBS should not treat open fractures. In conclusion, traditional bone setting is cheaper and more familiar to patients but it is prone to complications so it should be, refined and regulated to make it safer and pave way for possible collaboration with orthodox care.
Copyright (c) 2019 Williams Yongu, Mue DD, Elachi IC, Kortor JN
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