Infection and Complications After Low-velocity Intra-articular Gunshot Injuries

Abstract

Prognostic Level III. See Instructions for authors for a complete description of levels of evidence.

Fraturas causadas por armas de fogo: Epidemiologia e taxa de infecção

“…The evaluation by the emergency team was also the criterion used to define the treatment in other works. Nguyen et al 8 reported that, in 43.6% of the cases, non-surgical treatment was the option, and there were no reports of infectious complications in this group. However, the two cases of infection reported by these authors are of patients who underwent emergency surgical debridement, 8,9 and the authors correlated the occurrence of deep infection with the energy of the initial trauma.…”

“…Nguyen et al 8 reported that, in 43.6% of the cases, non-surgical treatment was the option, and there were no reports of infectious complications in this group. However, the two cases of infection reported by these authors are of patients who underwent emergency surgical debridement, 8 9 and the authors correlated the occurrence of deep infection with the energy of the initial trauma. In the series of cases analyzed by these authors, all 90 patients were taken to the surgical center and received antibiotic prophylaxis.…”

“…The number of 245 fractures in 223 patients is relevant, since there are numerous retrospective studies 8 9 10 on the subject with smaller samples. Nguyen et al, 8 in a retrospective study that evaluated the results of the treatment of joint fractures by FAPs, included 55 lesions in 53 patients. Kaim Khani et al 9 evaluated 90 isolated lesions to compare the outcomes of high and low-velocity FAPs.…”

“…Recent studies 8 do not consider that the classification recommended by Gustilo et al 4 should be used in the evaluation of fractures caused by FAPs. The authors argue that the size of the post-debridement lesion does not correspond to the damage caused internally by the FAPs, and that the energy dissipated in the tissues would be the main prognostic factor.…”

“…O número de 245 fraturas em 223 pacientes é relevante, pois existem numerosos estudos 8 9 10 retrospectivos sobre o assunto com amostra menor. Nguyen et al, 8 em um estudo retrospectivo que avaliou os resultados do tratamento de fraturas articulares por PAFs, incluíram 55 lesões em 53 pacientes. Kaim Khani et al 9 avaliaram 90 lesões isoladas para comparar os resultados de lesões por PAFs de alta e baixa velocidade.…”