title: [Open fractures caused by gunshot in civilian practice. Apropos of 31 cases].
abstract: The authors report their experience of the treatment of 31 gunshot open fractures in civilian practice. The fractures, comminuted in two thirds of cases, were produced by various fire-arms. Two vascular injuries were observed. Conservative treatment was performed in 80% of cases. 13 septic complications were observed (6 superficial and 7 deep infections). The were also 7 cases of delayed union, 3 mal unions and 7 cases of joint stiffness. To improve the prognosis of these lesions, the authors emphasize that surgeons must be familiar with ballistic wounds and carry out an early initial and appropriate treatment.
authors.affiliation: Service d'Orthopédie-Traumatologie, CHU, Brazzaville, Congo.
authors.forename: A
authors.initials: A
authors.lastname: Moyikoua
authors.forename: F
authors.initials: F
authors.lastname: Dolama
authors.forename: B
authors.initials: B
authors.lastname: Pena-Pitra
authors.forename: G
authors.initials: G
authors.lastname: Bikandou
authors.forename: J M
authors.initials: JM
authors.lastname: Ondzoto
authors.forename: J M
authors.initials: JM
authors.lastname: Kaya
mesh_terms: D000293:Adolescent; D000328:Adult; D001134:Arm Injuries / Q000150:complications* / Q000601:surgery; D002370:Casts, Surgical; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006230:Hand Injuries / Q000150:complications* / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000601:surgery; D007869:Leg Injuries / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014143:Traction; D014948:Wounds, Gunshot
vernacular_title: Fractures ouvertes par armes à feu en pratique civile. A propos de 31 cas.