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如何不治疗胫骨骨折:一名庸医治疗案例报告

How Not To Fix a Tibial Fracture: A Case Report on Treatment By a Quack.

作者信息

Singh Roop, Seth Isha, Seth Aditya, Singh Sunayana, Aiyappan Ram K, Yadav Chander Mohan, Jain Harsh, Tawde Anish, Agrawal Gaurav K, Jain Aditi

机构信息

Orthopaedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.

Obstetrics and Gynaecology, Amrita Hospital, Faridabad, IND.

出版信息

Cureus. 2023 Jun 9;15(6):e40203. doi: 10.7759/cureus.40203. eCollection 2023 Jun.

DOI:10.7759/cureus.40203
PMID:37435249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10331172/
Abstract

Quackery in the orthopaedic profession has existed for quite a long time. Due to the shortage of orthopaedic healthcare staff in public hospitals and the high costs in private facilities, members of disadvantaged communities turn to unlicensed and unskilled practitioners (quacks). The main factors responsible for the increased number of quacks performing orthopaedic treatment are illiteracy, high treatment cost, mismatch in the orthopaedic surgeon-to-population ratio, especially in rural areas, and the absence of any form of health insurance. Moreover, their easy availability and offer of low-cost treatment draw innocent and illiterate patients to them, even though these quacks perform orthopaedic treatment in the most unhygienic, unsterilized, and unconventional manner. The government should intervene and take measures to make orthopaedic treatment more affordable and accessible, especially to the rural population.

摘要

骨科行业中的庸医现象已经存在很长时间了。由于公立医院骨科医护人员短缺,私立医疗机构费用高昂,弱势群体成员便求助于无执照、无技能的从业者(庸医)。导致进行骨科治疗的庸医数量增加的主要因素包括文盲、治疗费用高、骨科外科医生与人口比例失调(尤其是在农村地区)以及缺乏任何形式的医疗保险。此外,这些庸医随处可见且提供低成本治疗,这吸引了无辜且文盲的患者,尽管这些庸医以最不卫生、未消毒且非传统的方式进行骨科治疗。政府应进行干预并采取措施,使骨科治疗更容易负担得起且更容易获得,尤其是对农村人口而言。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/14870b780817/cureus-0015-00000040203-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/961165b6bb81/cureus-0015-00000040203-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/4369beee6587/cureus-0015-00000040203-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/a7415db7c583/cureus-0015-00000040203-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/14870b780817/cureus-0015-00000040203-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/961165b6bb81/cureus-0015-00000040203-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/4369beee6587/cureus-0015-00000040203-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/a7415db7c583/cureus-0015-00000040203-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2d/10331172/14870b780817/cureus-0015-00000040203-i04.jpg

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本文引用的文献

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The evolution of functional bracing of fractures.骨折功能性支具的演变
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Unwholesome trauma care: a cautionary note.不良创伤护理:一则警示
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Buckle fractures of the distal radius are safely treated in a soft bandage: a randomized prospective trial of bandage versus plaster cast.桡骨远端屈曲骨折采用软绷带治疗安全有效:绷带与石膏固定的随机前瞻性试验
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Limb gangrene following treatment of limb injury by traditional bone setter (Tbs): a report of 15 consecutive cases.传统接骨师治疗肢体损伤后发生肢体坏疽:15例连续病例报告
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The prevention of traditional bone setter's gangrene.传统接骨师坏疽的预防
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Improving primary orthopaedic and trauma care in Nepal.改善尼泊尔的初级骨科和创伤护理。
Educ Health (Abingdon). 2003 Nov;16(3):348-56. doi: 10.1080/13576280310001607631.
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