title: [Humerus reconstruction after gunshot fracture].
abstract: High-velocity bullits can cause severe blast injuries with shattering and defects of the large bones. Initial external fixation is followed by rebuilding of the bone, which is difficult due to concomitant infection, poor revascularization and lack of a suitable bone bed. A case report of an injured African soldier shows the follow-up and difficulties of reconstruction of the shattered humerus by repeated spongious bone grafting. After successful remodeling of the bone, external fixation is followed by ASIF dynamic compression-plate osteosynthesis.
authors.affiliation: Chirurgische Abteilung Bundeswehrkrankenhauses Ulm/Donau.
authors.forename: F
authors.initials: F
authors.lastname: Gebhard
authors.forename: W
authors.initials: W
authors.lastname: Hartel
mesh_terms: D016267:External Fixators; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008889:Military Personnel; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D014945:Wound Healing / Q000502:physiology; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Humerusrekonstruktion nach Schussbruch.