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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۵، صفحات ۴۵۳-۴۵۸
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عنوان انگلیسی Characteristic Features and Outcomes of Open Gunshot Fractures of Long-bones with Gustilo Grade 3: A Retrospective Study
چکیده انگلیسی مقاله Background: The incidence of gunshot injuries is growing, and civilian orthopedics should be more aware of the treatment and consequences of these injuries. This study aimed to describe the characteristic features and complications of gunshot injuries to long-bones.Methods: A total of 50 patients who presented with an open gunshot fracture of the tibia, humerus, and femur in the emergency room of our hospital were included in this study. Primary irrigation and debridement, as well as prophylactic antibiotics, were administered in the emergency room. The treatment was performed either conservatively (n=4) or surgically (n=46). The external fixator, nailing, or plating was used for surgical fixation. Results: The mean age and follow-up duration of the patients were 32.3±9.9 years and 13.1±5.6 months, respectively. The most common injured long bone was the femur (32 of 50). Regarding the Gustilo grade, IIIa, IIIb, and IIIc were observed in 37, 7, and 5 patients, respectively. The Masquelet technique was used for 7 (14%) patients, and 12 (24%) cases had skin flaps. Furthermore, the vascular injury was present in 5 (10%) patients, and Mal:union: of the fracture site was observed in 5 (10%) cases. Non:union: of the fractured bone occurred in 13 (26%) patients that was significantly associated with the presence of vascular injuries (P=0.02). Postoperative infection occurred in 9 (18%) patients and was significantly associated with the presence of skin flap (P=0.014). Conclusion: Gunshot injuries of long bones are associated with a high incidence of post-treatment complications, such as infection and non:union:, and therefore, more intensive care should be taken to avoid these complications.Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Gunshot injury, Gustilo classification, Infection, non:union:
نویسندگان مقاله | Ali yeganeh
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Shayan Amiri
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Babak Otoukesh
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Mehdi moghtadaei
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Siavash Sarreshtehdari
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Seyedehsan Daneshmand
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran


| Parnaz Mohseni
Department of Orthopaedic Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_18651.html
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نوع مقاله منتشر شده RESEARCH PAPER
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