Orthopaedic surgeons versus traditional bone setters: A comparative analysis of healing systems and patronage of two Ghanaian therapists

Abstract

Fracture management and treatment in Ghana is a sole prerogative of two healers. In the hospital, orthopaedic surgeons are the specialists in charge of bone setting, while at the community level, traditional bone setters mend broken bones using indigenous knowledge systems. These two specialists constitute the gatekeepers of bone setting in Ghana, who use biomedical and indigenous epistemologies to heal fractures, respectively. Using the qualitative approach, and with evidence from the Volta Region of Ghana, this study engages in a comparative analysis of the healing systems and patronage of orthopaedists and traditional bone setters. The study argues that orthopaedic surgeons use scientific and biomedical knowledge in healing, while traditional bone setters use indigenous customs, traditions, methods, and skills to heal fractures. Second, these specialists use different approaches and methods in mending broken bones. At the center of this study lies the factors that influence the patronage of the services of these two therapists. The study finds expertise, advanced medical technology, infection management, and first aid as factors responsible for the patronage of the services of orthopaedic surgeons. On the other hand, the good review process, social support system, the use of herbs, and local knowledge motivate people to seek the services of traditional bone setters. The study concludes that orthopaedic surgeons and traditional bone setters constitute the panacea for fracture treatment in Ghana and thus, a collaborative work between these two practitioners can bridge the gap for sustainable and quality healthcare delivery in bone setting.