[Gunshot wounds of the extremities in civilian practice. Therapeutic approach in five cases with diaphyseal bone involvement].
The authors analyse 5 cases of gunshot wounds involving limbs with a diaphyseal fracture of the radius and ulna: 3 of the cases concern the radius and ulna and the remaining 2 involve the tibial bone. These wounds were encountered in civilian practice (3 rixes, 2 gun-shot injuries). In all of the cases, the emergency treatment consisted of extensive debridment, bone fixation by intramedullary nailing in most cases, cancellous iliac bone grafting in 2 cases, cover with a Latissimus dorsi free flap in 1 case. In all of the cases, development was free of infections bone union time was 3 to 12 months; last functional results were satisfactory.
Tropet
Y
Y
Service de Chirurgie Orthopédique Traumatologique, Chirurgie Plastique, Besançon, France.
Garbuio
P
P
Obert
L
L
Grelet
V
V
D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D018483:Diaphyses / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*
Les traumatismes balistiques des membres en pratique civile. Notre stratégie thérapeutique. A propos de 5 cas avec atteinte osseuse diaphysaire.