Palma-Villegas W

Language: Spanish
References: 18
Page: 135-141
PDF size: 98.73 Kb.

ABSTRACT

Reports of violent events have been increased in an exponential way in recent years and with this also gunshot wounds in children occur more frequently. Many factors influence this, mainly the participation of young people in gangs, drug’s consumption and trafficking, family disintegration, etc. These lesions are produced mainly as a result of aggression although also occur accidentally when handling an adult´s gun without experience. The most common orthopedic injuries are the long bones fractures such as femur and tibia, as well as the foot or hand bones. Classification correspond to Gustilo III open fractures, which can be found either isolated or accompanied by another injury that can lead to total disability or even death. Initial management should take place in the surgery room carried out a thorough irrigation and debridement, review of the possible trajectory of the projectile, grade of tissue affectation and surrounding structures and if there is no great loss of tissue then tried the reduction of the fracture and the stabilization of primary form. In unstable or complicated cases suggested in addition, place external tutors and perform fixation at a second time helped by adding bone grafting and appropriate skin cover.

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