Family Structure and Bonesetter’s Gangrene in Children: A Case Series

Adesina, Stephen Adesope; Amole, Isaac Olusayo; Awotunde, Olufemi Timothy; Eyesan, Samuel Uwale; Durodola, Adewumi Ojeniyi; Adeniran, Adenike; OlaOlorun, David Akintayo

doi:10.9734/ijtdh/2016/24242

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…These findings underscore the versatility of the SIGN nail in treating complications resulting from fracture treatment by other modalities. This is especially important in our setting where traditional bone setting and the attendant complications are pervasive 19 .…”

Section: Discussionmentioning

confidence: 99%

Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Adesina

Eyesan

Ikem

et al. 2021

Sci Rep

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Long bone fracture care in developing countries remains largely different from that of the developed world where closed reduction and internal fixation with locked intramedullary nail is the standard treatment. This study in a developing country presents the pattern and outcome of treatment of 370 long bone fractures using the SIGN nail over a five-year period in order to underline the wide array of patients and fractures treatable with the nail. Using a prospective descriptive approach, all the 342 patients with 370 fractures of the humerus, femur and tibia treated from July 2014 to June 2019 were studied. The fractures were reduced without image intensifier or fracture table and fixed with the SIGN nail. Post-discharge, the patients were followed up at the out-patient clinic. The mean age of the patients was 43.45 years with a range of 10–99 years. Sixty-six percent were males who were mostly injured in motorcycle accidents. Femur, tibia and humerus fractures accounted for 59.7%, 28.4% and 11.9% respectively. Eighty-six percent were diaphyseal fractures, 73% were fresh and the main previous treatment was traditional bone setting. Deep infection occurred in 4.9%, 66.0% achieved knee flexion > 90° by sixth week, the majority achieved full weight bearing and could squat and smile by 12th week. The SIGN nail is versatile, useful for treating a wide range of fractures in most age groups particularly in developing countries where orthopaedic fractures are prevalent but the more sophisticated facilities are lacking or poorly maintained.

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Section: Discussionmentioning

confidence: 99%

Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Adesina

Eyesan

Ikem

et al. 2021

Sci Rep

View full text Add to dashboard Cite

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“…This is similar to the pattern reported by earlier studies in our environment 27,28 . Nevertheless, it is also possible that the number of open fractures that eventually presented to us as AFUs was reduced by pre-hospital fatal complications such as septicaemia and tetanus 18,19 or that many patients with open fractures sought orthodox care of the wound 16 . Non-union was the most common form of AFUs in our series, and this has been reported by other studies on complications of TBS 10,20 .…”

Section: Discussionmentioning

confidence: 99%

“…These are unorthodox practitioners without any training in a formal, medical education setting, having inherited their purported skills from older generations in the family 15 , 16 . While a few previous authors identified some usefulness of TBS 13 , 17 , most other studies have established havocs done to the injured by bonesetters 18 , 19 . Limb gangrene, tetanus, chronic bone infection or eventual fatality are the most devastating disasters of TBS 18 , 19 .…”

Section: Introductionmentioning

confidence: 99%

“…While a few previous authors identified some usefulness of TBS 13 , 17 , most other studies have established havocs done to the injured by bonesetters 18 , 19 . Limb gangrene, tetanus, chronic bone infection or eventual fatality are the most devastating disasters of TBS 18 , 19 . However, also associated with the practice is disability caused by AFUs, including delayed union, mal-union and non-union 10 , 20 .…”

Section: Introductionmentioning

confidence: 99%

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Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria

Adesina

Eyesan

Amole

et al. 2022

Sci Rep

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Wage earning in low- and middle-income countries (LMICs) is predominantly through physical labour. Consequently, limb-related disabilities caused by abnormal fracture unions (AFUs) preclude gainful employment and perpetuate the cycle of poverty. Many AFUs result from traditional bone-setting (TBS), a pervasive treatment for long bone fractures in LMICs. The objective of this study was to accentuate the expediency of solid locked intramedullary nail in the early restoration of victims of TBS-induced abnormal fracture unions (AFUs) to their pre-injury functioning, including work. One hundred AFUs in 98 patients treated with a solid locked intramedullary nail in our center over a period of 7 years were prospectively studied. We found the mean age to be 47.97 years. Males constituted 63.9% of the patients’ population. Atrophic non-union accounted for 54.1% of the AFUs. The mean fracture-surgery interval was 21.30 months. By the 12th post-operative week, more than 75% of the fractures had achieved knee flexion/shoulder abduction beyond 90°, were able to squat and smile (or do shoulder abduction-external rotation), and were able to bear weight fully. The study demonstrated the expediency of solid locked nail in salvaging TBS-induced abnormal fracture unions in a way that permitted early return to pre-injury daily activities and work, thereby reducing fracture-associated poverty.

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Family Structure and Bonesetter’s Gangrene in Children: A Case Series

Cited by 2 publications

References 7 publications

Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria

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