Outcomes of tibia shaft fractures caused by low energy gunshot wounds

Injury
Charles A SuHeather A Vallier

Abstract

The purpose of this project was to compare the rates of infections, nonunions, malunions, and secondary operations in tibia fractures resultant from low energy GSWs versus those seen in open and closed tibia fractures resultant from blunt trauma. A secondary objective was to assess the utility of using the traditional Gustilo-Anderson classification system for open fractures to describe fractures secondary to low energy GSW. A retrospective review of 327 patients with tibia shaft fractures was conducted at our level I trauma center. Patients underwent a variety of interventions depending on their injury. Standard fixation techniques were utilized. Outcome measures include: mechanism of injury, rates of superficial and deep infection, nonunion, malunion, and secondary operations. Deep infection after low energy GSW tibia fractures was uncommon and seen in only 2.3% of patients. Rates of infection after low energy GSWs were similar to low and high energy closed tibia fractures resultant from blunt trauma, but significantly less than that seen in open type II (25%, p < 0.05), type IIIA (19.5%, p < 0.05), and type IIIB fractures (47%, p < 0.01). There were no nonunions following GSW fractures, versus 3.7% after closed tibia fractur...Continue Reading

References

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Feb 28, 2017·Journal of Orthopaedic Trauma·Mai P NguyenHeather A Vallier

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Citations

Jun 23, 2020·Journal of Orthopaedic Trauma·Mai P NguyenHeather A Vallier
Oct 21, 2020·Journal of Orthopaedic Trauma·John C PratherClay A Spitler
Mar 24, 2021·The Journal of Bone and Joint Surgery. American Volume·Justin T JabaraMai P Nguyen
Mar 25, 2021·Clinical Orthopaedics and Related Research·Christopher LeeJohn Morellato
May 6, 2021·Clinical Orthopaedics and Related Research·Sheldon Lin

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