Behandlung von Schussverletzungen des Bewegungsapparates

Abstract

In the view of efficiency and cost effectiveness the increasing incidence of gunshot wounds in Europe demands a modification of treatment protocols. The general basis are debridement of soft tissue injuries, antibiotics and fracture stabilization. The pathology of gunshot wounds and established treatment algorhithms, however have to be adjusted to the ongoing development of gun technology and the thereby caused specific lesions. The treatment of injuries caused by high velocity projectiles necessitates a proactive surgical strategy. Small caliber gunshot wounds can be treated more conservatively. The following review presents an overview on the ballistic and surgical basis for the treatment of gunshot wounds of the musculoskeletal system.

Treatment Outcome of Open Tibial Shaft Fractures in A Teaching Hospital in Ghana

“…However, there are some variations regarding those concepts in literature, with the majority of controversial aspects being related to: the real surgical need for open type-I fractures and gunshot fractures 4,5,6 ; the best irrigation product and pressure for surgical cleaning 7,8 ; the best moment for wound closure and coverage of soft tissue 9,10,11 ; time of antibiotics use 12,13 ; and the best method for fracture stabilization 3 .…”