McAndrew M P, Johnson K D
Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee.
Surg Clin North Am. 1991 Apr;71(2):297-303. doi: 10.1016/s0039-6109(16)45380-6.
The treatment of gunshot wounds involving bones or joints remains controversial. Antibiotics and thorough debridement may not be necessary for many of these wounds (stable fractures with minimal soft-tissue damage). However, as in the treatment of open fractures and joint injuries from blunt trauma, the damage to the skin frequently is not a good indicator of the amount of soft tissue to be found underneath.
