Nwadinigwe C U, Muolokwe U C L
National Orthopaedic Hospital, Enugu, Nigeria.
Niger J Med. 2005 Apr-Jun;14(2):218-20. doi: 10.4314/njm.v14i2.37184.
Trauma care requires proper training on how to diagnose life and limb threatening conditions. The aim of this paper is to report an extreme case of unwholesome practice that drained the patient physically, emotionally and financially.
The medical record of the patient and relevant literature were reviewed.
A 25-year-old commercial motorcyclist (okada) presented with a huge discharging leg ulcer with exposed plate and necrotic distal half of the right tibia on the account of uninformed treatment he received from his primary physician and a traditional bonesetter spanning a period of five months. The foot was found to be grossly deformed and insensate. Below knee amputation was done as salvage.
Our undergraduate curriculum should change to expose medical students more to basic trauma care. A designated body should regulate activities of traditional bonesetters. The practitioners should be made to undergo some form of training to recognize high-risk trauma patients and the need for early referral.
创伤护理需要接受关于如何诊断危及生命和肢体状况的适当培训。本文旨在报告一个极端的不良医疗行为案例，该案例使患者在身体、情感和经济上都遭受了损失。
回顾了该患者的病历及相关文献。
一名25岁的商业摩托车骑手（摩的司机）因在5个月内从其初级医生和一名传统接骨师那里接受了未经告知的治疗，导致腿部出现巨大的脓性溃疡，钢板外露，右胫骨远端一半坏死。发现足部严重畸形且无感觉。为挽救患者生命，进行了膝下截肢手术。
我们的本科课程应做出改变，让医学生更多地接触基本创伤护理。应有指定机构对传统接骨师的活动进行监管。应要求从业者接受某种形式的培训，以识别高危创伤患者以及早期转诊的必要性。
