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Tytuł pozycji:

Firearm-Related Fractures: Epidemiology and Infection Rate.

Tytuł :
Firearm-Related Fractures: Epidemiology and Infection Rate.
Autorzy :
Baumfeld D; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Brito ASP; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Torres MS; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Prado KL; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
de Andrade MAP; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Campos TVO; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
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Źródło :
Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2020 Oct; Vol. 55 (5), pp. 625-628. Date of Electronic Publication: 2020 Apr 27.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: 2019- : [Stuttgart] : Thieme
Original Publication: São Paulo : Sociedade Brasileira de Ortopedia e Traumatologia
References :
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J Orthop Trauma. 2017 Jun;31(6):330-333. (PMID: 28230571)
J Orthop Trauma. 1989;3(1):6-10. (PMID: 2709206)
Orthop Clin North Am. 2013 Oct;44(4):529-40. (PMID: 24095069)
Chin J Traumatol. 2015;18(3):161-3. (PMID: 26643243)
J Bone Joint Surg Am. 1996 Aug;78(8):1167-71. (PMID: 8753708)
Clin Orthop Relat Res. 2003 Mar;(408):82-5. (PMID: 12616042)
Acta Ortop Mex. 2013 Jul-Aug;27(4):221-35. (PMID: 24707611)
Injury. 2018 Dec;49(12):2244-2247. (PMID: 30316518)
J Am Acad Orthop Surg. 2000 Jan-Feb;8(1):21-36. (PMID: 10666650)
Contributed Indexing :
Keywords: Wound infection/epidemiology; fractures, bone; wounds, gunshot/epidemiology
Entry Date(s) :
Date Created: 20201023 Latest Revision: 20201024
Update Code :
20210623
PubMed Central ID :
PMC7575391
DOI :
10.1055/s-0040-1702960
PMID :
33093728
Czasopismo naukowe
Objective  To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. Methods  A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. Results  There was surgical-site infection in 8.5% of the fractures, and the mean number of debridements required to control the infectious process was of 1.273 ± 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment ( p  < 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection ( p  < 0.001; Chi-squared test). Conclusion  Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious complications in patients submitted to external fixation was found, as expected.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)

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