medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2019, Number 1

<< Back Next >>

Acta Ortop Mex 2019; 33 (1)

Associated risk factors for infection in open fractures by firearms

Pérez-Ruiz SA, Matus-Jiménez J

Language: Spanish
References: 18
Page: 28-35
PDF size: 208.53 Kb.


ABSTRACT

Background: The introduction of firearms has increased deaths, assassinations and suicides. Firearm projectile injuries (PAF) increasingly affect civilian populations (500,000 injuries annually), it is the second cause of death in young people. Half required fracture treatment (45%), accompanied by reports of 6% who developed a deep infection. Material and methods: Retrospective, observational, cross-sectional study in four hospitals of the Secretary of Health of CDMX of the frequency of infection in fractures exposed by PAF and if there is any other factor that is associated with the infection. Results: In the review of the files of the four hospitals, 67 patients were found, men, with an incidence of infections of 4.5%, when analyzing the risk factors these did not present a significant association. Discussion: No risk factor has statistical significance for any infectious process to occur, probably due to a good initial treatment.


REFERENCES

  1. Versier G, Ollat D. Lesiones de los miembros y de la columna vertebral por proyectiles. EMC-Aparato Locomotor. 2005; 38(3): 1-11.

  2. Tosti R, Rehman S. Surgical management principles of gunshot-related fractures. Orthop Clin North Am. 2013; 44(4): 529-40.

  3. Rozen N, Dudkiewicz I. Wound ballistics and tissue damage. In: Lerner A, Soudry M, eds. Armed conflict injuries to the extremities. Berlin, Heidelberg: Springer; 2011: 21-33.

  4. Bartlett CS, Helfet DL, Hausman MR, Strauss E. Ballistics and gunshot wounds: effects on musculoskeletal tissues. J Am Acad Orthop Surg. 2000; 8(1): 21-36.

  5. García-Valadez LR, Hernández-Téllez IE, Castellanos-Velazco CA, Ibáñez-Guerrero O, Palmieri-Bouchan RB. Epidemiología de las heridas por proyectil de arma de fuego en el Hospital Central Militar de México. Rev Sanid Milit Mex. 2015; 69(3): 204-17.

  6. Moye-Elizalde GA, Ruiz-Martínez F, Suarez-Santamaría JJ, Ruiz-Ramírez M, Reyes-Gallardo A, Díaz-Apodaca BA. Epidemiología de las lesiones por proyectil de arma de fuego en el Hospital General de Ciudad Juárez, Chihuahua. Acta Ortop Mex. 2013; 27(4): 221-35.

  7. Stefanopoulos PK, Hadjigeorgiou PK, Filippakis K, Gyftokostas D. Gunshot wounds: a review of ballistics related to penetrating trauma. J Acute Dis. 2014; 3: 178-85.

  8. Giannou C, Baldan M. Cirugía de Guerra trabajar con recursos limitados en conflictos armados y otras situaciones de violencia. Volumen 1. Ginebra, Suiza: CICR; 2011.

  9. Seng VS, Masquelet AC. Management of civilian ballistic fractures. Orthop Traumatol Surg Res. 2013; 99(8): 953-8.

  10. Sathiyakumar V, Thakore RV, Stinner DJ, Obremskey WT, Ficke JR, Sethi MK. Gunshot-induced fractures of the extremities: a review of antibiotic and debridement practices. Curr Rev Musculoskelet Med. 2015; 8(3): 276-89.

  11. Dougherty PJ, Vaidya R, Silverton CD, Bartlett C, Najibi S. Joint and long-bone gunshot injuries. J Bone Joint Surg Am. 2009; 91(4): 980-97.

  12. Bowyer GW, Rossiter ND. Management of gunshot wounds of the limbs. J Bone Joint Surg Br. 1997; 79(6): 1031-6.

  13. Poyanli O, Unay K, Akan K, Guven M, Ozkan K. No evidence of infection after retrograde nailing of supracondylar femur fracture in gunshot wounds. J Trauma. 2010; 68(4): 970-4.

  14. Dougherty PJ, Gherebeh P, Zekaj M, Sethi S, Oliphant B, Vaidya R. Retrograde versus antegrade intramedullary nailing of gunshot diaphyseal femur fractures. Clin Orthop Relat Res. 2013; 471(12): 3974-80.

  15. Grubor P, Milicevic S, Grubor M, Meccariello L. Treatment of bone defects in war wounds: retrospective study. Med Arch. 2015; 69(4): 260-4.

  16. Prokuski L. Treatment of acute infection. J Am Acad Orthop Surg. 2006; 14(10 Spec No.): S101-4.

  17. Dougherty PJ, Sherman D, Dau N, Bir C. Ballistic fractures: indirect fracture to bone. J Trauma. 2011; 71(5): 1381-4.

  18. Shahabuddin D, Shahab F, Sikka RS. Incidence, etiological profile, and treatment of surgical site infections in patients with gunshot injuries and bomb blast injuries in Pakistan. Infect Dis Clin Pract. 2013; 21(5): 302-4.




2020     |     www.medigraphic.com