Brettler D, Sedlin E D, Mendes D G
Clin Orthop Relat Res. 1979 May(140):26-31.
A retrospective study of gunshot wounds of the extremities present 148 patients who had sufficient clinical and radiological follow-up data to assess the results. The routine treatment for this injury consisted mainly of cleansing the wound, introduction of systemic antibiotics in the emergency room followed by hospitalization. More extensive treatment and surgical debridement were done only when intraarticular or vascular injury occurred. Two patients developed infected wounds. In 6 displaced humeral shaft fractures, there were 2 non-unions and one delayed union. In 11 comminuted, displaced fractures of the femoral shaft, one non-union occurred.
一项对四肢枪伤的回顾性研究呈现了148例患者，他们有足够的临床和放射学随访数据来评估结果。这种损伤的常规治疗主要包括清洗伤口，在急诊室使用全身性抗生素然后住院。仅当发生关节内或血管损伤时才进行更广泛的治疗和外科清创术。两名患者出现伤口感染。在6例肱骨干移位骨折中，有2例骨不连和1例延迟愈合。在11例股骨干粉碎性移位骨折中，发生了1例骨不连。
