Management of civilian gunshot injuries of the femur

A review of the literature

Joseph Tejan, Ronald Lindsey

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Gunshot fractures of the femur are becoming more commonplace in modern civilization. The initial assessment must accurately document the vascular and neurological status of the limb as well as the characteristics of the fracture. Low velocity gunshot wounds require a brief course of broad spectrum intravenous prophylactic antibiotics and limited surgical debridement of the wound. Definitive stabilization should consist of locked, reamed, intramedullary nailing for low velocity injuries, and non-reamed nailing for high velocity injuries. External or plate fixations are best reserved for the more severe Grade IIIC injuries. Successful limb salvage is most dependent on the associated vascular injury, while neurological injury is a major determinant of long-term disability.

Original languageEnglish (US)
JournalInjury
Volume29
Issue numberSUPPL. 1
StatePublished - 1998
Externally publishedYes

Fingerprint

Femur
Wounds and Injuries
Civilization
Intramedullary Fracture Fixation
Gunshot Wounds
Limb Salvage
Vascular System Injuries
Debridement
Blood Vessels
Extremities
Anti-Bacterial Agents

Keywords

  • Femur
  • Fracture
  • Gunshot wound
  • Management

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

Cite this

Management of civilian gunshot injuries of the femur : A review of the literature. / Tejan, Joseph; Lindsey, Ronald.

In: Injury, Vol. 29, No. SUPPL. 1, 1998.

Research output: Contribution to journalArticle

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