Author(s)

Mamoudou Sawadogo^1*, Salam Ouedraogo², Sayouba Tinto¹, Malick Diallo³, Sibiri Abdoul Karim Bouda², Abdourahamane Ouangre², Madi Savadogo²

¹Department of Orthopedics-Traumatology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso.
²Surgery Department of the Regional Hospital, Ouahigouya, Burkina Faso.
³Department of Orthopedics-Traumatology, Sourou Sanon University Hospital, Bobo-Dioulasso, Burkina Faso.

Introduction: Binding retains an important place in Africa. Leaving a health facility to see a bonesetter is common there, but a source of complications. The purpose of this work was to analyze the results obtained by bonesetter after discharge against medical advice. Methodology: Analytical cross-sectional study over a period of one year, including all patients admitted for limb fracture, discharged against medical advice for treatment with a bonesetter. Results: Thirty-nine patients were selected. The average age was 36.9 years, and the sex ratio was 5.50. The fractures were open in 35.9%. At a mean follow-up of 19 months, the course was marked by pain in 34.4% and inequality in limb length in 62.5%. Thirteen fractures (40.6%) were consolidated with axis defect, and 11 were without axis defect (34.4%). There were eight non-union (25%), and eleven patients (34.4%) presented with stiffness in one or more joints. Seven patients had died. Discussion: The problem of discharge against medical advice is found in all hospitals but is particularly marked for fractures in our context. The absence of an X-ray and ignorance of the rules of asepsis lead to complications. Only the fractures of the two bones of the leg had progressed well (5/8 good results). The rate of vicious calluses (40.6%) and non-union (25%) is high. Conclusion: Although a few cases have progressed favorably, the results of patients traditionally treated after discharge against medical advice are generally poor.

Fractures, Bonesetter, Discharge against Medical Advice

Sawadogo, M. , Ouedraogo, S. , Tinto, S. , Diallo, M. , Abdoul Karim Bouda, S. , Ouangre, A. and Savadogo, M. (2022) Results of the Traditional Treatment of Fractures of Patients Discharged against Medical Advice from the Orthopedics Department of the Ouahigouya Regional University Hospital (Burkina Faso). Open Journal of Orthopedics, 12, 1-9. doi: 10.4236/ojo.2022.121001.