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Boucree Joseph B. Jr. M.D.; Woods, Clarence Jr. M.D.; Hansraj, Kenneth K. M.D.
Techniques in Orthopaedics: October 1995
Orthopaedic Lessons from Recent Wars: Articles: PDF Only
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Summary:

Gunshot wounds can present a unique category of injuries. Low-velocity injuries generally require minor debridement and short-term antibiotics. Fracture stabilization can be achieved based on the pattern of bony injury. However, the treatment of high-velocity injuries is very complex because both the soft tissue and the bony destruction are extensive. Multiple debridements are necessary because of continuing necrosis over a period of days. Bony stabilization is often performed with external fixation, and multiple delayed procedures are required for wound closure and bony union.

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