{"id":2074,"date":"2025-11-04T14:17:01","date_gmt":"2025-11-04T13:17:01","guid":{"rendered":"https:\/\/nsgh.nl\/?page_id=2074"},"modified":"2025-11-13T11:19:47","modified_gmt":"2025-11-13T10:19:47","slug":"joost-binnerts-2022","status":"publish","type":"page","link":"https:\/\/nsgh.nl\/en\/otto-kranendonk-fonds\/joost-binnerts-2022","title":{"rendered":"Building Bridges for Broken Bones: Providing adequate treatment for extremity fracture patients in Shirati, rural Tanzania. A study on the safety, efficacy and acceptability of a collaborative triage &amp; treatment model for extremity fracture patients, involving traditional bone setters"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Joost Binnerts 2022<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cOrthopaedic care in rural areas such as Shirati is limited, so fracture patients often seek the help of \u2018bonesetters\u2019: traditional healers who treat fractures through splinting and massage. Patients with simple fractures are generally treated adequately and at a low cost, and are often satisfied with this mode of treatment. Complex or open fractures (with a wound), however, require surgery; a service that bonesetters cannot provide. It is this group of patients that often presents at a late stage with complications, such as badly healed bones or severe infections. Bonesetters are often well aware of their limitations, but have little access to pain medication, X-ray imaging or sterile equipment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To combine the best of both worlds, we are conducting a pilot study to assess the efficacy of a collaborative triage &amp; treatment protocol with three bonesetters, the general principles being: bonesetter treatment for patients with simple fractures, hospital treatment for patients with complex fractures, and adequate pain management and X-ray imaging for all. To contribute or learn more about the bonesetter project, please visit our webpage:&nbsp;<a href=\"https:\/\/stichtingshirati.nl\/bonesetter-project\/?lang=en\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/stichtingshirati.nl\/bonesetter-project\/?lang=en<\/a>\u201c<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Click&nbsp;<a href=\"https:\/\/nsgh.nl\/wp-content\/uploads\/joost-binnerts-final-narrative-report-gsfa-2023-go-001-sf.pdf\" data-type=\"attachment\" data-id=\"2079\">here<\/a>&nbsp;to read the final narrative report.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/nsgh.nl\/wp-content\/uploads\/sysrev-article-joost-binnerts.pdf\" data-type=\"attachment\" data-id=\"2080\">Article World Journal of Surgery<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Joost Binnerts 2022 &#8220;Orthopaedic care in rural areas like Shirati is limitedly available, so fracture patients often seek out the help of \u2018bonesetters\u2019: traditional healers that treat fractures through splinting and massage. Patients with simple fracture are generally treated adequately and at a cheap price, and are often satisfied with this mode of treatment. Complex [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":161,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2074","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/pages\/2074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/comments?post=2074"}],"version-history":[{"count":0,"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/pages\/2074\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/pages\/161"}],"wp:attachment":[{"href":"https:\/\/nsgh.nl\/en\/wp-json\/wp\/v2\/media?parent=2074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}