Onuminya John E
Department of Orthopedics and Traumatology, Faculty of Clinical Sciences, College of Medicine, Ambrose Alli University PMB 14, Ekpoma, Edo State, Nigeria.
J Natl Med Assoc. 2005 Jun;97(6):824-5.
Limb amputation is a major cause of disability in Nigeria, and inadequate health facilities for limb salvage procedures and rehabilitation have increased the burden of amputation surgery in our environment. The common indication for limb amputation in Nigeria is limb gangrene due to trauma. A road traffic accident is an important cause of the trauma, and the role of the traditional bonesetters in the increasing incidence of limb gangrene has been reported. The complications of the traditional bonesetter's practice in Nigeria account for about 50-60% of the limb gangrene necessitating amputation in our hospitals. Misadventures in traditional medicine practice are not new to us. People have lost their lives in the cause of testing the efficacy of traditional medicine. This paper reports an unusual indication for limb amputation in Nigeria following misadventure in a traditional medicine practice in a rural community.
肢体截肢是尼日利亚致残的主要原因，而用于肢体挽救手术和康复的医疗设施不足，增加了我国截肢手术的负担。在尼日利亚，肢体截肢的常见指征是创伤导致的肢体坏疽。道路交通事故是创伤的一个重要原因，并且传统接骨师在肢体坏疽发病率上升中所起的作用已有报道。在尼日利亚，传统接骨师的治疗引发的并发症占我院因肢体坏疽而必须截肢病例的约50%至60%。传统医学治疗中的意外事件对我们来说并不陌生。人们在测试传统药物疗效的过程中失去了生命。本文报道了在一个农村社区传统医学治疗出现意外后，尼日利亚出现的一种不寻常的肢体截肢指征。
