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  3. 6. An Observational Study of Trauma Managed by Bonesetters: Complications, Delays, Orthopaedic Outcomes, and Healthcare Costs
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6. An Observational Study of Trauma Managed by Bonesetters: Complications, Delays, Orthopaedic Outcomes, and Healthcare Costs

Original Article

Trauma Managed by Bonesetters

An Observational Study of Trauma Managed by Bonesetters: Complications, Delays, Orthopaedic Outcomes, and Healthcare Costs

Mohammad Aslam Mengal, Saddam Mazar, Zahid Khan, Eamaan Abid, Nargis Taj  and Saima Azam

ABSTRACT

Objective: This study is to evaluate the role of traditional bonesetter (TBS) practices in the management of trauma in Balochistan, Pakistan, focusing on the complications, treatment delays, patient outcomes, and associated healthcare costs.

Study Design: Observational study.

Place and Duration of Study: This study was conducted at the Orthopeadic Surgery Shaikh Khalifa Bin Zayyad Al Nayyan Medical Complex Quetta from 15th November 2021 to 14th November 2023.

Methods: A total of 200 trauma patients previously treated by bonesetters, mostly children, were included. Data were collected on demographics, type of injury, bonesetters’ interventions, complications (e.g., malunion, infection), and time delays before hospital admission. Financial analysis included costs due to extended hospitalization, corrective surgeries, and rehabilitation.

Results: Among the 200 cases, 65% experienced complications, including malunion (35%) and infections (20%). The average delay in receiving proper orthopaedic care was 21 days. Paediatric patients treated by bonesetters had an average hospital stay 30% longer than those receiving direct hospital care, requiring additional corrective surgeries. Healthcare costs were significantly higher, with a 40% increase in expenses due to extended treatment.

Conclusion: Bonesetters’ mismanagement of trauma, particularly among children, leads to higher complication rates, delays in appropriate care, and increased healthcare costs. Public health efforts should focus on community education and integrating bonesetters into formal healthcare systems to mitigate these adverse effects.

Key Words: Fracture, Bone, Malunions, Costs, Health Care

Citation of article: Mengal MA, Mazar S, Khan Z, Abid E, Taj  N, Azam S. An Observational Study of Trauma Managed by Bonesetters: Complications, Delays, Orthopaedic Outcomes, and Healthcare Costs. Med Forum 2024;35(11):31-35. doi:10.60110/medforum.351106.