Elstrom J A, Pankovich A M, Egwele R
J Bone Joint Surg Am. 1978 Apr;60(3):335-41.
Low-velocity gunshot fractures of the forearm are complex injuries and previously published studies have not emphasized the problems particular to these forearm lesions. Of the twenty-nine patients in this series, thirteen had peripheral nerve injuries, three had impending Voklmann's ischemia, and ten had delayed union or malunion of fractures after treatment by closed methods. Only thirteen had none of these problems. Eight patients had long-term disability resulting either from permanent nerve damage with loss of sensation or weakness of grip, or from significant loss of motion following delayed union or malunion. Although external fixation was adequate for undisplaced fractures, delayed (seven to fourteen days) primary internal fixation after the initial phase of wound healing had proved benign gave superior results in displaced fractures.
前臂低速枪伤骨折是复杂的损伤，先前发表的研究并未强调这些前臂损伤所特有的问题。在本系列的29例患者中，13例有周围神经损伤，3例有伏克曼缺血性挛缩先兆，10例在采用闭合方法治疗后出现骨折延迟愈合或畸形愈合。只有13例没有这些问题。8例患者有长期残疾，原因要么是永久性神经损伤导致感觉丧失或握力减弱，要么是延迟愈合或畸形愈合后出现明显的活动丧失。虽然外固定对无移位骨折足够，但在伤口愈合初期延迟（7至14天）进行一期内固定，在有移位骨折中已证明效果良好，能取得更好的结果。
