Zhang Yiyi, Wright Breydan, D'Amore Peter, Hightower Cody, Stang Thomas, Israel Heidi, Tucker Michael, Zura Robert, Cannada Lisa K
Saint Louis University School of Medicine, St. Louis, Missouri.
Louisiana State University Department of Orthopaedic Surgery, New Orleans, Louisiana.
J Surg Orthop Adv. 2020 Summer;29(3):135-140.
The purpose is to evaluate hip fractures due to gunshot wounds (GSW) to the hip, which are treated surgically, and the complications. Patients who sustained a low velocity GSW with fracture to the femoral head/neck and intertrochanteric/peritrochantric region at three Level 1 Trauma Centers were eligible. There were 69 patients (63 males-91%), with an average age of 29 (18-60). Nine patients had orthopaedic surgical site infections. There were 6 nonunions, 4 patients with hardware failure, 2 cases of avascular necrosis (AVN), 3 patients with post traumatic arthritis (PTA) and 20 patients with heterotopic ossification (HO). There was no significant difference found regarding fracture site or type of fixation with regards to complications. This represents the largest study of surgically treated GSW to the hip. Of patients studied, 61% sustained additional GSW. These injuries are not benign; the main complications being infection and heterotopic ossification. (Journal of Surgical Orthopaedic Advances 29(3):135-140, 2020).
目的是评估因髋部枪伤（GSW）而接受手术治疗的髋部骨折及其并发症。在三个一级创伤中心，因低速枪伤导致股骨头/颈以及转子间/转子周围区域骨折的患者符合入选标准。共有69例患者（63例男性，占91%），平均年龄29岁（18 - 60岁）。9例患者发生了骨科手术部位感染。有6例骨不连，4例内固定失败，2例缺血性坏死（AVN），3例创伤后关节炎（PTA）以及20例异位骨化（HO）。在骨折部位或固定类型与并发症方面未发现显著差异。这是对手术治疗髋部枪伤规模最大的研究。在所研究的患者中，61%还遭受了其他枪伤。这些损伤并非良性；主要并发症是感染和异位骨化。（《外科骨科进展杂志》29(3):135 - 140, 2020）
