Good evening TшззтFαм. VIEWER DISCRETION ADVISED. I'd like to talk about something that bothers me. The TRADITIONAL BONE SETTER'S GANGRENE.
In my few years of practice I have had to do perhaps hundred plus or even more amputations ( to cut a limb or part to save a life)

And one of the commonest reasons for this is gangrene ( death of a limb). Of the causes of gangrene, in my practice environment, one of the commonest is splints applied by traditional bone setters (TBS), closely followed by diabetic foot complications and trauma.

Sadly most of these have occured in minors and unconscious patients. Some of whom had simple sprains for which only resting the limb would suffice. Others have fractures that unfortunately tight circumferential splints have been applied over.

So at the time of application of these splints, they feel snug, but no sooner than they have been applied, swelling sets in as expected following trauma, unfortunately there's no room within the splint to accommodate the swelling. Blood doesn't get to parts of the limb

... beyond the splint, more swelling... vicious cycle, the limb eventually dies and goes black. Unfortunately this can happen too in an ill-timed plaster cast on an orthodox setting.

I ponder on a few things
1. The patronage of TBS is alarming even with the complications. I've seen even very well enlightened folks who attend these unorthodox places
2. Children lose limbs and no one gets to be held accountable. Not the parents/guardians, not the practitioners

3. TBS's are more or less unregulated
4. The truth is a good number of fractures will heal given the right conditions and adequate contact between fragments

Or how else would fractures in animals in the bush heal). Orthopaedic specialists only aid fractures to heal in a functionaly acceptable manner

Please next time you suspect someone has a fracture or limb trauma
1. Isolate the patient from further exposure to apparent or potential harm while protecting yourself
2. Immobilize the limb so it can be moved in one piece. For a leg fracture, a flat board would do

3. In some cases elevation before going to Hospital helps
4. Please go to the hospital for a doctor to review and manage or refer to Orthopaedic specialists
I hope this has been worth your time
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