Bosad study


News: BOSAD study team undertook their annual research review meeting in Addis Ababa, Ethiopia.

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BOne Setting Associated Disability (BOSAD) STUDY

National web-based data collection platform on the practice and complication of traditional bone setting for musculoskeletal injury in Ethiopia


By 2025, all the practice and complications of traditional bone setters' for musculoskeletal injury in Ethiopia will be reduced to nearly zero prevalence.


Collect national data on the practice and complications of traditional bone setting for musculoskeletal injury, advocate for a newly trusted modern medical system and create platform on utilization of modern musculoskeletal injury care throughout the country.


The objective of this web-based Multicentre study is to have a national data on complications of trauma patients previously treated by traditional bone setters. The ultimate goal will be to train the practitioners according to the varied findings, reduce the complications both in number and type following the interventions, sustain the change tailoring the practice with legally binding scope of practice and developing educational materials for feature use among medical Practioners and lastly advocate for all stakeholders including the public, government, and media regarding appropriate modern musculoskeletal care for all trauma patients throughout the country.

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Medical Doctors
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Research Assistants
Technical Staffs

our motivation

One of the big challenges facing in the orthopaedics practice is traditional bone setter related complication among trauma patients. Many paediatric patients who sustain trauma will go to the nearby bone setter and get massaged many times. Then they will be brought to us once they get complicated which will be too late to save the limb of the patients. In order to save the life of the patients’, we are obliged to remove the limb which leads to disability and impairment.

Now we are motivated to conduct this multicentre national study to know the width and breadth of traditional bone setter related complications at national level and to prepare scope of practice guidelines for the traditional bone setter with responsible stakeholders in the regional and national level.

who we are

The host center of the study, Department of Orthopaedics and Traumatology, Hawassa University Comprehensive Specialized Hospital (HUCSH), is established 6 years back as an independent unit under the department of surgery by Dr. Ephrem Gebrehana, the Pioneer Orthopaedic Surgeon for the University.  Numerous Orthopaedic surgeons have played a pivotal role for the development of the orthopaedic care over the course of the mentioned period.

Currently the host department leading and running few disciplinary and thematic researches both locally and nationally including this one under the leadership of Dr Mengistu Gebreyohanes Mengesha, Research coordinator of the department.

The current study is entitled to participate 8 research tertiary centers from different corners of the country, namely, Departments of Orthopedics and Traumatology at Bahirdar University, Gondar University, Assela University, Jimma University, Jigjiga University, Wachemo University, Haromiya University and Hawassa University as a host center.

 The study is aligned with AO-alliance country initiative with a theme of “Improving fracture care”. The study variables have been tested by a pilot study undertaken at the host center over a course of 6 months. The interesting findings of the Pilot phase of the study has been presented at different international online meetings including International Federation of Musculoskeletal research society (IFMRS), Harvard global Orthopedic collaborative and Bethune international roundtable meeting.  We strongly believe the national data pool will bring many interesting detrimental characteristics of the Bone setters’ practice into the public view and hence bring a significant change in the growth milestones of modern Musculoskeletal injury care in the country.



What we do

Currently the Host Center have five permanent staff Orthopaedic surgeons aiming to give high quality clinical care. We have been highly involved in national and international Collaborations to scale up the orthopaedic service of the country and teaching- learning activities of the Institution. The study partner institutions also are tertiary centers of the country with a big share of engagement in Medical and resident teaching practice besides the high volume of clinical care.  Now a days we are highly engaged on problem solving clinical studies in order to practice evidence-based medicine (EBM).

Our participants story

CASE SCENARIO-1 picture without splint

participant 1

A 55 years old female patient from rural area presented after falling down from standing height of 8 months duration. She gets injured her right arm and it was closed.


This is a short description


This is a short description