Original Investigation

The Orthopedic Evaluation of Traditional Bonesetter Sequelae in Our Region

10.5152/imj.2014.37929

  • Celil Alemdar
  • İbrahim Azboy
  • Abdullah Demirtaş
  • Emin Özkul
  • Mehmet Gem
  • Mehmet Bulut
  • Bekir Yavuz Uçar
  • Yılmaz Tutak

İstanbul Med J 2014;15(2):122-126

Objective:

Traditional bonesetter sequelae are an important problem in our region. The aim of the study was to present serious orthopedic problems in the patients who delay treatment due to bonesetter intervention and treatment approaches for this type of patient in our clinic.

Methods:

Fifty-one patients who were admitted to our clinic with traditional bonesetter sequelae. The location of the fracture, the reason of admission to the traditional bonesetter and the hospital, time elapsed until admission to the hospital, physical examination and radiographic findings, and methods of treatment were analyzed.

Results:

Of all the sequelae, 42 were in the upper and 9 were in the lower extremity. The most common reasons to consult a bonesetter were easy accessibility and the belief that the bonesetter would provide better treatment for fractures and dislocations than a physician can. The most common causes of admission to the hospital after the visit to the bonesetter were deformity, pain, and a limited range of motion. Twenty-eight patients underwent surgery, and 18 were treated conservatively. Five cases received followed-up. In 20 patients, the sequelae were permanent.

Conclusion:

Delayed and inadequate treatment can lead to the emergence of permanent disabilities. Public education and a revision of health policies are necessary in order to eliminate this problem.

Keywords: Traditional bonesetter sequelae, children fractures, deformity, permanent disability