Complications of Fracture Treatment by Traditional Bonesetters in West Java, Indonesia

Putri Liana Warman, Yoyos Dias Ismiarto, Undang Ruhimat


Background: Traditional medicine practices are still occurring especially in developing countries such as Indonesia. One of the traditional practitioners is the traditional bonesetter (TBS). Due to lack of knowledge of human anatomy, physiology, infection prevention and control, the practices of the TBS has a risk to increase the complications in fractured patients. The objectives of this study was to identify the complications of fractured patients treated by the TBS who were admitted to dr. Hasan Sadikin General Hospital in West Java, Indonesia

Methods: This descriptive study involved 86 medical records of fractured patients admitted to the hospital, from January to December 2014. The collected data were gender, age, admission time after occurrence of the fracture, site of the fracture and early or delayed complications. Moreover, those data were analyzed and presented using frequency tabulation.

Results: Out of 86 patients; 61 (70.93%) were males; 16 (18.60%) were 21–30 years old; 25 (29.07%) had fractures 1–3 months before admitted to the hospital; 83 (96.51%) had closed fractures. There were 86 patients with 109 fractures location; 66 (76.74%) had fractures in one location; 41 (37.61%) had femoral fractures. Half of the patients had malunion.

Conclusions: The most complication is malunion. 


Fracture, malunion, traditional bonesetter

Full Text:



Nayagam S, Salomon, Louis., Warwick, David. Apley`s System of Orthopaedics and Fractures. 9th ed. London: Hodder Arnold; 2010.

Adi Mahartha GR, Maliawan S, Kawiyana KS. Management of fracture of musculosceletal trauma. E-journal Medika Udayana. 2013;2(3):548–60.

Nwachukwu BU, Okwesili IC, Harris MB, Katz JN. Traditional bonesetters and contemporary orthopaedic fracture care in a developing nation: historical aspects, contemporary status and future directions. Open Orthop J. 2011;5(1):20–5.

Sari AP, Priambodo A, Pramono D. Faktor-faktor yang berhubungan dengan keterlambatan berobat pada pasien patah tulang yang menggunakan sistem pembiayaan jamkesmas (Studi Kasus di RSUP Dr. Kariadi Semarang Tahun 2012). Medico. 2012;1(1):1–13.

Ekere A, Echem R. Patronage of traditional bone setters for musculoskeletal conditions: A one-year study. Port Harcourt Med J. 2012;6(2):215–24.

Onyemaechi NO, Lasebikan OA, Elachi IC, Popoola SO, Oluwadiya KS. Patronage of traditional bonesetters in Makurdi, North-Central Nigeria. Patient Pref Adherence. 2015;9(1):275–9.

Wahyudiputra AG, Khoirur HD, Hakim RA, Narendra MR. Spektrum Penderita Neglected Fracture di RSUD dr. Abdoer Rahem–Januari 2012 s/d Desember 2013. CDK. 2015;42(2):97–100.

Onyemaechi NOC. Complications of musculoskeletal injuries treated by traditional bonesetters in a developing country. Indian J Appl Res. 2014;4(3):313–6.

Owumi B, Taiwo PA, Olorunnisola A. Utilization of traditional bone-setters in the treatment of bone fracture in Ibadan North Local Government. Int J Humanities Soc Science Invention. 2013;2(5):47–57.

Dada A, Giwa S, Yinusa W, Ugbeye M, Gbadegesin S. Complications of treatment of musculoskeletal injuries by bone setters. West Afr J Med. 2009;28(1):333–7.

Selin H. Encyclopaedia of the History of Science, Technology, and Medicine in Non-Western Cultures. 2nd ed. Massachusetts: Springer Science & Business Media; 2013.

Eze KC. Complications and co-morbidities in radiographs of patients in traditional bone setters’ homes in Ogwa, Edo State, Nigeria: a community-based study. Eur J Radiol. 2012;81(9):2323–8.

Chowdhury M, Khandker H, Ahsan K, Mostafa D. Complications of fracture treatment by traditional bone setters at Dinajpur. Dinajpur Med Col J. 2011;4(1):15–9.

Panda AK, Rout S. Puttur kattu (bandage)–a traditional bone setting practice in South India. J Ayurveda Integr Med. 2011;2(4):174–8.


Article Metrics

Abstract view : 8380 times
PDF - 722 times

 This Journal indexed by




Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats