Gunshot fractures

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Retrograde versus antegrade intramedullary nailing of gunshot diaphyseal femur fractures.

BACKGROUND The use of retrograde nailing for gunshot wound femur fractures is controversial due to concerns of knee sepsis after this procedure since the knee is entered to introduce the nail into the canal. QUESTIONS/PURPOSES We compared retrograde and antegrade nailing for gunshot femur fractures to determine whether (1) knee sepsis or other adverse events were more likely to complicate pro...

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Evaluation of results of interlocking nails in femur fractures due to high velocity gunshot injuries.

BACKGROUND Femoral shaft fractures are common in adult population due to vulnerability to road traffic accident and firearm injuries. There are various treatment modalities to treat the femur shaft fracture, i.e., Plating & screws, Intramedullary nailing, External fixator and Interlocking nails. Comminuted fractures due to gun shot injuries are a challenging problem for orthopaedic surgeons. Th...

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Gunshot Wounds

Firearm injuries are regarded as a special form of blunt trauma. The damage to the organism is caused by the impact of a single projectile (or a multitude of pellets) propelled from a barrel by high-pressure combustion gases and striking the body at a high velocity. Gunshot wounds, in a broader sense, are also lesions caused by blank-cartridge weapons as well as injuries due to livestock stunne...

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Fractures with major vascular injuries from gunshot wounds: implications of surgical sequence.

BACKGROUND The sequence of surgical repair for penetrating extremity injuries requiring both vascular repair and fracture fixation is controversial. The optimal determination of repair order and its consequences is the purpose of this study. METHODS A retrospective review was performed of 27 patients over a 10-year period requiring acute revascularization and fracture fixation for isolated gu...

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Antibiotics in the treatment of low-velocity gunshot-induced fractures: a systematic literature review.

BACKGROUND Low-velocity gunshots are often associated with extremity fractures. There is no consensus, however, on the use of antibiotics for these injuries. QUESTIONS/PURPOSES We performed a literature review to answer the following questions: (1) Are antibiotics needed for the treatment of these fractures? (2) Is gram-negative coverage necessary? (3) How long should antibiotics be administe...

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ژورنال

عنوان ژورنال: Transactions of the Royal Academy of Medicine in Ireland

سال: 1898

ISSN: 0790-2352

DOI: 10.1007/bf03177252