give reference articles fron pubmed for prevelance for traditional bone setters in india icmr
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I now have a solid set of relevant articles. Let me compile the full response.
Here are the most relevant PubMed reference articles on traditional bone setters (TBS) in India, along with their key findings:
PubMed Reference Articles: Traditional Bone Setters in India
Note on ICMR specifically: There is no dedicated ICMR-funded national prevalence study on traditional bone setters indexed in PubMed at this time. The prevalence figures cited widely in the literature (e.g., ~60,000 TBS treating ~60% of bone trauma in India) appear in the articles below but are derived from observational and qualitative studies, not a formal ICMR epidemiological survey. If you need ICMR grey literature, the ICMR website or Indian Journal of Medical Research archives may have unpublished or non-indexed reports.
1. Systematic Review (Highest Evidence)
Garikapati V, Konadu-Yeboah D, Mengesha MG, et al.
Systematic review of complications associated with treatment by traditional bone setters for musculoskeletal injury.
Tropical Doctor. 2023 Jan; 53(1).
PMID: 36062723 | PMC: PMC11986085
DOI: 10.1177/00494755221122543
- Reviewed 878 papers; 12 studies included (833 participants, 691 complications)
- Covers India-specific data (Memon et al. 2009: 79.3% complication rate; Butt et al. 2009: 73 pediatric elbow trauma cases)
- Identifies limb/life-threatening complications including mortality
- Highest evidence tier (Systematic Review / Tier 1)
2. South India Qualitative Study (Prevalence Figures)
Isaacs-Pullins S, Vaz M, Murthy H, Hughes D, Kallail KJ.
A Qualitative Study of Traditional Bone Setters in South India: A Case Series.
Kansas Journal of Medicine. 2022; 15.
PMID: 36467447 | PMC: PMC9710505
DOI: 10.17161/kjm.vol15.18580
- Key prevalence figure: approximately 60,000 TBS in India treating approximately 60% of bone-related trauma
- Covers 4 states in South India; interviews conducted with 6 lead TBS practitioners
- Documents generational, family-based training; no formal modern medical education
- Notes TBS provide free/low-cost services in rural areas with limited healthcare access
3. Puttur Kattu - South India Traditional Practice (Direct India Data)
Panda AK, Rout S.
Puttur kattu (bandage) - A traditional bone setting practice in south India.
Journal of Ayurveda and Integrative Medicine. 2011 Oct; 2(4):174-8.
PMID: 22253506 | PMC: PMC3255447
DOI: 10.4103/0975-9476.90766
- States approximately 6,000 traditional bone-setting Vaidyas practicing in India
- Documents Puttur, Andhra Pradesh practice with 200-300 patients per day
- Prospective study: 54% of patients came on advice of prior patients; 23% took voluntary discharge from modern hospitals to receive Puttur kattu
- 71% of followed cases satisfied with treatment; 44% chose TBS due to fear of surgery/plaster
4. Traditional Bone Setter's Gangrene (Complication Landmark Article)
Walker G.
Traditional bone setter's gangrene.
International Orthopaedics (SICOT). 1999; 23(4):253.
PMID: 10486039
- Early landmark letter describing the entity of TBS gangrene in India
- Referenced widely in Indian orthopedic literature
5. Response to Prevention of TBS Gangrene (India Perspective)
Agarwal A, Agarwal R.
The prevention of traditional bone setter's gangrene. (Letter/Comment)
Journal of Bone and Joint Surgery Br. 2005 Sep; 87(9):1315.
PMID: 16129765
- Indian authors commenting on TBS practice and its dangers
- Advocates for integration and regulation
6. Pediatric Elbow Trauma (India - Butt et al.)
Butt MF, Kawoosa AA, Dhar SA.
Outcome of treatment of the mismanaged pediatric elbow trauma: a series of 73 cases.
Disability and Rehabilitation. 2009; 31(6):488-94.
PMID: 18720106
- 73 pediatric patients with elbow trauma mismanaged by TBS (India)
- Complications: stiff joint 21.9%, malunion 8.2%, nerve injury 6.8%, Volkmann's ischemic contracture 4.1%, amputation 2.7%, gangrene 2.7%
7. Valgus Osteotomy After TBS Malunion (Rural India)
Subash Y.
Valgus Osteotomy with DHS Fixation in the Management of Malunited Intertrochanteric Fractures in a Rural Population.
Malaysian Orthopaedic Journal. 2020 Nov; 14(3):83-88.
PMID: 33403068
- Documents TBS-caused malunion in rural Indian population requiring surgical correction
Summary of Prevalence Data Available
| Source | Figure | Context |
|---|---|---|
| Isaacs-Pullins et al., 2022 (PMID 36467447) | ~60,000 TBS in India | ~60% of bone trauma managed by TBS |
| Panda & Rout, 2011 (PMID 22253506) | ~6,000 TBS Vaidyas | Andhra Pradesh - 200-300 pts/day at one center |
| Garikapati et al., 2023 (PMID 36062723) | 79.3% complication rate | India-specific data within LMIC systematic review |
For a formal ICMR-indexed national study, you may need to search the Indian Journal of Medical Research (IJMR) directly, as some ICMR reports are not indexed in PubMed.
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