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Low-velocity gunshot fractures of the tibia

Low-velocity gunshot fractures of the tibia

Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association 7(3): 386-391

ISSN/ISBN: 0949-2658

PMID: 12077666

DOI: 10.1007/s007760200064

A gunshot-related fracture is a unique type of open fracture. Bullet-induced fractures of the tibia may be encountered in any urban or rural setting as a result of hunting or cleaning mishaps or, perhaps more frequently, of criminal activity. For surgeons with limited experience, there is a bewildering range of apparently contradictory advice concerning their management. This article reports a case of a 53-year-old man with a highly comminuted bullet-induced shaft fracture of the tibia received during hunting activity. The patient was treated with a unilateral external fixator and vascularized flap for skin reconstruction. Six months after surgery, the external fixator was removed at clinical and radiological evidence of healing. At 1 year follow-up, the patient obtained complete healing and returned to normal activity.

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Accession: 046582188

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