EurekaMag
+ Translate
+ Most Popular
Sobre os generos Lopadusa Stal e Bothrocoris Mayr (Hemiptera, Pentatomidae, Pentatomini)
RFEF pilot plant for inactivation of Escherichia coli in apple juice
Calpionella alpina Lorenz als "Leitfossil"
Sooretama: The Atlantic Rain Forest of Brazil. Francis Dov Por
Novel approaches in myeloma therapy
Preliminary Notes on the Study of Mitochondria During the 1st Stages of the Destruction of Cadavers
A preliminary study of the biology of lichee stink bug, Tessaratoma papulosa Drury, and its control
The status of the Sabu Island python - Die Situation des Savu-Pythons
Randomised trial of intravenous immunoglobulin as prophylaxis against infection in plateau-phase multiple myeloma. the UK Group for Immunoglobulin Replacement therapy in Multiple Myeloma
Conflicts between children
Clinical presentations in neuropsychiatry
Method of suturing a perforated ulcer of the stomach and duodenum
Identification of mechanical asphyxiation in cases of attempted masking of the homicide
Effects of endogenous ascorbate on oxidation, oxygenation, and toxicokinetics of cell-free modified hemoglobin after exchange transfusion in rat and guinea pig
Is it warm? Is it real? Or just low spatial frequency?
Additions and corrections to the list of Korean Heteroptera
Factors contributing to the maintenance of oligotrophy in an alpine glacial moraine lake (Wallowa lake) in Northeast Oregon
Classification, paleoecology, and biostratigraphy of crinoids from the Stull Shale (Late Pennsylvanian) of Nebraska, Kansas, and Iowa
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Neue Formen der Bauchsammler aus Turkmenien (Hymenoptera, Apoidea)
Atypische Hühnerpest und Newcastle-Krankheit. Ein Identifizierungsversuch
Parasitellus fucorum in the debris of Apis mellifera - a risk of confusion with Tropilaelaps spp
Applying the Technology Acceptance Model to the introduction of healthcare information systems
Ein akarologischer Nachruf für den "Roland"
Mutation research on crop plants in Argentina

Outpatient management of low-velocity gunshot-induced fractures


Outpatient management of low-velocity gunshot-induced fractures



Orthopedics 24(10): 951-954



ISSN/ISBN: 0147-7447

PMID: 11688773

This prospective study evaluated the efficacy of an outpatient management protocol for patients with a gunshot-induced fracture with a stable, nonoperative configuration. Forty-one patients (44 fractures) with a grade I or II open, nonoperative fracture secondary to a low-velocity missile comprised the study population. Patients were treated by a standard protocol, which included 1 g of cefazolin administered in the emergency room and a 7-day course of oral cephalexin. Follow-up visits were performed until complete wound and fracture healing were achieved. Thirty-two (78%) of 41 patients underwent full follow-up. Average follow-up was 5.2 months. One (2.8%) fracture (distal fibula) developed a superficial infection, which responded to an additional week of oral antibiotics, and no patient developed a deep infection. There was 1 delayed union and 2 patients with painful retained shrapnel. These results demonstrate that patients with stable, low-velocity, gunshot-induced fractures can be managed effectively and safely on an outpatient basis using this protocol.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046894402

Download citation: RISBibTeXText

Related references

Management of low velocity gunshot-induced fractures. Journal of Orthopaedic Trauma 4(1): 39-41, 1990

Necessity breeds invention: a study of outpatient management of low velocity gunshot wounds. Emergency Medicine Journal: Emj 23(5): 376-378, 2006

Management of small caliber low velocity gunshot fractures. Journal Of Bone and Joint Surgery American Volume: 1235, 1971

Antibiotics in the treatment of low-velocity gunshot-induced fractures: a systematic literature review. Clinical Orthopaedics and Related Research 471(12): 3937-3944, 2013

Low-velocity gunshot fractures of the tibia. Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association 7(3): 386-391, 2002

Efficacy of antibiotics in low-velocity gunshot fractures. Journal of Orthopaedic Trauma 3(1): 6-10, 1989

Fractures of the femur secondary to low-velocity gunshot wounds. Journal of Trauma 21(2): 160-162, 1981

Fractures of the forearm resulting from low-velocity gunshot wounds. Journal of Orthopaedic Trauma 6(1): 32-35, 1992

Timing of internal fixation in low-velocity extremity gunshot fractures. Contemporary Orthopaedics 29(5): 335-339, 1994

Extra-articular low-velocity gunshot fractures of the radius and ulna. Journal of Bone and Joint Surgery. American Volume 60(3): 335-341, 1978

Immediate internal fixation of low-velocity gunshot-related femoral fractures. Journal of Trauma 35(5): 678-81; Discussion 681-2, 1993

Low-velocity Gunshot Injuries to the Femur: What Is the Utility of Stabilizing Incomplete Fractures?. Journal of the American Academy of Orthopaedic Surgeons 27(18): 685-689, 2019

Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot. Beitrage Zur Gerichtlichen Medizin 47: 247-255, 1989

Low-velocity gunshot fractures of the radius and ulna: case report and review of the literature. Journal of Trauma 39(5): 1003-1005, 1995

Evaluation of results of interlocking nails in femur fractures due to high velocity gunshot injuries. Journal of Ayub Medical College Abbottabad: Jamc 20(1): 16-19, 2008