WebSep 17, 2024 · A comminuted gunshot femoral neck fracture in a young patient is a rare and potentially devastating injury. If stable, and there are no other associated emergent injuries, reduction, internal fixation, and immediate valgus osteotomy should be considered. WebFractures that result from gunshot wounds should be considered to be open fractures. Low-velocity gunshot wounds less than 8 hours old generally are classified as Type I open injuries using the classification of Gustilo and Anderson. 15 Gunshot wounds that are open for greater than 8 hours are considered Type II open injuries.
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Recent Advances in the Treatment of Gunshot Fractures …
WebIn patients with gunshot wounds, the initial neurologic deficit is often extensive; however, one report showed that only 12% to 15% of patients sustained transected nerve lesions. … WebJun 11, 2024 · Shotgun and high-velocity gunshot fractures benefit from intravenous antibiotic treatment for 24 to 48 hours and, in most situations, surgical débridement. Wound Assessment . One problem facing the surgeon is the assessment of the character of the gunshot injury. The presence of a large wound is an obvious indicator of tissue damage. WebSep 24, 2024 · There are five major gunshot injuries of the head 8: penetrating: entry wound with no exit would. perforating: entry and exit wound with tract through the brain parenchyma. tangential: strikes the … nortec portishead