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 Buy Abstract 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. © Williams & Wilkins 1995. All Rights Reserved.