Frequency of Complications among Trauma Patients Treated by Traditional Bone Setters Presented to Orthopedics Department, Gujranwala Teaching Hospital Gujranwala.

Abstract

Background: Traditional bone setters (TBS) are widely consulted for trauma care in developing regions, often leading to severe complications due to inadequate medical knowledge. This practice poses significant risks to patient safety and outcomes. Objective: The study aimed to evaluate the frequency and nature of complications encountered by trauma patients treated by traditional bone setters. Methods: This cross-sectional study was conducted in the Department of Orthopedics and Trauma Surgery at Gujranwala Teaching Hospital, Pakistan, from February 1st to April 31st. Ninety-seven patients who received care from TBS and subsequently presented at the Orthopedic outpatient clinic were included. Detailed data on demographics, injury type and site, TBS management techniques, and resulting complications were collected and analyzed using SPSS Version 20. Results: Among the 97 patients, 63 (64.95%) were female and 34 (35.05%) were male, with ages ranging from 3 to 70 years and a mean age of 33. TBS primarily used sticks and bandages for fracture management. The most common complications were malunion (42.27%), non-union (21%), and joint stiffness (17%). Conclusion: The high incidence of complications from TBS treatments significantly strains the Orthopedics department. Proposed solutions include integrating TBS into the healthcare system for improved training and regulation or implementing a complete ban on their malpractices.