Oral presentation about medixalPP45.pdf

Med case

1. Pictures (If relevant)
Perceptions regarding traditional bone setting among patients with fractures in National
Hospital of Sri Lanka
K. Sathiyanathan1, I.S.U. Dias2, N. Tharmakulasingham1, C. Nawarathnam1
1 Postgraduate Institute of Medicine, University of Colombo,2 National Hospital of Sri Lanka
Background Results
Method
Conclusions and Recommendations
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References
PP - 45
SLCEP Annual Academic Conference 2025
Manydevelopingcountries,especiallyinAsia,Africaand
SouthAmericahaveanintegratedapproachtomanagement
offractureswherebothtraditionalbonesetting(TBS)aswell
asconventionalcareco-exist.InSriLanka,traditionalbone
settingappearstobeapopularmodeoftreatmentof
fractures.
•Traditional bone setting (TBS) remains a widely relied-upon practice in Sri Lanka
for orthopedic care.
•Cultural beliefs, affordability, and accessibility are key reasons for continued TBS
use.
•Free public healthcare and advanced diagnostics are encouraging a gradual shift
toward orthodox medical care.
•Recommendations
•Standardize and regulate TBS through training programs and safety
guidelines.
•Promote collaboration between traditional and orthodox practitioners for
integrated, safer care.
Figure1: Frequency distribution of the study population by the
type of ailment•Design: Descriptive cross-sectional study
•Setting: Orthopaedic clinics, wards, and Accident Service Ward
at National Hospital of Sri Lanka (NHSL)
•Study Population: Patients with fractures/ orthopaedic ailments
treated at NHSL
•Inclusion Criteria:
•Receiving orthopaedic treatment at NHSL
•Resident of Sri Lanka
•Able to provide informed consent
•Exclusion Criteria:
•Major psychiatric disorders
•Cognitive impairment
•Sampling Method: Consecutive sampling
•Sample Size: 100 participants
•Data Collection Tool: Self-administered questionnaire
•Duration: 1 month
•Ethical Approval: NHSL Ethics Review Committee
•Analysis: IBM SPSS Statistics v30.0
1.YempabeT, EduseiA, Donkor P, BuunaaimA, Mock C:Factors affecting utilization
of traditional bonesetters in the Northern Region of Ghana. AfrJ EmergMed. 2021,
11:105-10.
2.Attanayake AMHS, De Silva UMGD, Jayaweera JAAS, Perera DL:Use of ayurveda
and Sri Lankan traditional medicine for healing shaft of humerus fracture
following nonunion. J Ayurveda IntegrMed. 2018, 9:217-20.
•Age Distribution: Majority (27%) were aged 60–69 years (Mean age: 52.67 years)
•Primary Reason for Seeking TBS: Chronic pain – 50% of respondents
•Main Motivators for Choosing TBS: Lower cost, Better accessibility
•Complications from TBS:
•Reported by 15% of respondents
•Most common complication: Exacerbation of pain (40%)
•Reason for Seeking Formal Healthcare: Sophisticated imaging availability (98%)
•Perceptions of TBS vs. Orthodox Care:
•50% were undecided about the skill level of traditional bone setters
•50% believed orthodox care is more effective for pain and wound
management
•65% believed orthodox care is not more expensive than TBS
VariablesFrequencyPercentage (%)
Reasons for choosing TBS over formal healthcare*
Cost22
Accessibility6666
Cultural beliefs6666
Recommendations from family/
friends5858
Previous positive experience1010
Fear of amputation11
Fear of surgery1818
Fear of hospitals22
Attitude of healthcare workers11
Use of Plaster of Paris (POP)22
Complications after TBS treatment (n=15)
Malunion213.33
Joint stiffness320
Exacerbation of pain640
Local sepsis426.67
Table1: Reasons for choosing formal healthcare by the study
population
*Multiple responses