Extraction of an intra-articular bullet fragment from the subtalar joint: the "drill, tap, and extract" method.
The necessity of extracting intra-articular bullet fragments is well documented in the orthopedic literature. A case of the removal of a retained bullet fragment lodged within the subtalar joint and calcaneus is presented. The bullet fragment was drilled and tapped with small-fragment instruments and was readily removed. This technique is relatively easy to perform and may be used when bullet fragments are imbedded in osseous or intra-articular sites that are distant from the entrance wound.
Jelen
Bradley A
BA
Monfort Hospital, Ottawa, Ontario, Canada.
Scheid
D Kevin
DK
Fleuriau-Chateau
Philip
P
D000328:Adult; D002111:Calcaneus / Q000293:injuries / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013380:Subtalar Joint / Q000293:injuries / Q000601:surgery*; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*