Moyikoua A, Dolama F, Pena-Pitra B, Bikandou G, Ondzoto J M, Kaya J M
Service d'Orthopédie-Traumatologie, CHU, Brazzaville, Congo.
Ann Chir. 1994;48(11):1020-4.
The authors report their experience of the treatment of 31 gunshot open fractures in civilian practice. The fractures, comminuted in two thirds of cases, were produced by various fire-arms. Two vascular injuries were observed. Conservative treatment was performed in 80% of cases. 13 septic complications were observed (6 superficial and 7 deep infections). The were also 7 cases of delayed union, 3 mal unions and 7 cases of joint stiffness. To improve the prognosis of these lesions, the authors emphasize that surgeons must be familiar with ballistic wounds and carry out an early initial and appropriate treatment.
作者报告了他们在临床实践中治疗31例枪伤开放性骨折的经验。这些骨折在三分之二的病例中为粉碎性骨折，由各种枪支所致。观察到2例血管损伤。80%的病例采用了保守治疗。观察到13例感染并发症（6例表浅感染和7例深部感染）。还有7例骨折延迟愈合、3例畸形愈合和7例关节僵硬。为改善这些损伤的预后，作者强调外科医生必须熟悉弹道伤并进行早期、初步且恰当的治疗。
