Gunshot wounds of the extremities in civilian practice. Therapeutic approach in five cases with diaphyseal bone involvement
Tropet, Y.; Garbuio, P.; Obert, L.; Grelet, V.
Annales de Chirurgie Plastique et Esthetique 43(2): 162-168
1998
ISSN/ISBN: 0294-1260 PMID: 9768082 Document Number: 494415
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.