Traditional African Bonesetters and Western Medical Practitioners: Fractured Patient Care Systems in Cameroon, Ethiopia, Ghana and Zimbabwe

Explores the enduring role of traditional bone setting in African healthcare, highlighting its cultural depth, ethnobotanical roots, and growing biomedical collisions s with Western orthopedic medical sciences that split and fracture current patient-care systems.

Traditional bone setting (TBS) has long held a prominent sway in African healthcare, particularly in the more remote and pastoral expanses of Africa. This unique interdisciplinary religious, human rights, and sociological study of medicine manuscript is an examination of not only generationally inherited ethnobotanical, pharmacognosy TBS traditions but also direct observations on how current surgical orthopedic medicine and modern-day social mechanisms clash with traditional healthcare approaches in contemporaneous and inexorable ways. Whether intentionally or not, this entrenched two-tier infrastructure supports, promotes, and maintains a fiscally and socially alienated infrastructure: one that serves the poor general public; and the other that is oriented toward serving the prosperous and powerful urban class. Some argue that these disparate structures are destined to remain grassroots-based adversaries, due to systemic mistrust, irreconcilable intellectual and spiritual beliefs, and possible biochemical appropriations.
These ensuing biomedical collisions between "Western" orthopedic trauma care and traditional bonesetters in Cameroon (Central Africa), Ethiopia (East Africa), Ghana (West Africa), and Zimbabwe (South Africa) were documented over eight years via one-on-one interviews with TBS patients, practicing bonesetters, and in-country practicing orthopedic surgeons; evidence-based ethnobotanical research, and patient service preferences.
In Western biomedical quarters, it will continue to be argued that traditional bonesetters' lack of anatomical, physiological, and radiological knowledge effects tragic and unnecessary limb- and/or life-threatening complications. However, in stark contrast to Western medicine--which focuses on the empirical and scientific dissection, analysis, diagnosis, and profitable treatment of singular biological organ systems or body parts via medical specialties--holistic traditional medicine distinguishes itself to take into consideration the complete person in the treatment of injuries and illnesses--physically, psychologically, socially, and spiritually.
In traditional medicine, poor health, disease, misfortune, or even unexpected successes are not viewed as chance occurrences but are imbalances believed to arise from the actions of individuals or ancestral spirits. At its core, traditional medicine can be defined as "health practices, approaches, knowledge and beliefs incorporating plant, animal, and/or mineral-based medicines, spiritual therapies, manual techniques and exercises, applied singularly (or in combination) to treat, diagnose, and prevent illnesses or maintain well-being" (Fokunang et al., 2011). So, we can argue that almost every global region has had, at one time or another in its history, a form of traditional medicine. However, despite being consigned to a secondary placement in the health planning of developing countries, traditional medicine practices are gradually undergoing systemic revitalizations and rehabilitations, particularly in the last two decades.