Tratamiento de las fracturas por herida de arma de fuego: Revisión bibliográfica sistematizada

Andrés Puchiele; Alejandro Azziz; Nicolás Casales

doi:10.25184/anfamed2023v10n1a9

Treatment of gunshot wound fractures. Systematic Review of the literature

Andrés Puchiele Traumatología. Facultad de Medicina, Universidad de la República. Montevideo, Uruguay. https://orcid.org/0000-0002-8227-6777
Alejandro Azziz Clínica de Traumatología yOrtopedia. Facultad de Medicina, Universidad de la República. Montevideo, Uruguay. https://orcid.org/0009-0001-4428-4338
Nicolás Casales Clínica de Traumatología y Ortopedia. Facultad de Medicina, Universidad de la República. Montevideo, Uruguay. https://orcid.org/0000-0003-0318-8654

DOI: https://doi.org/10.25184/anfamed2023v10n1a9

Keywords: fracture, gunshot, firearm, debridement

Abstract

Introduction: Fractures due to gunshot wounds are a common reason for consultation in our country. There is great variability of conduct regarding its treatment. The main objective of this work is to analyze the different treatments and their indications.
Materials: A systematic review of the literature was carried out in the Pubmed and Scielo databases. Articles
with fractures due to gunshot wounds in the upper and lower limbs (excluding the hand) were included. We
analyzed: treatment (orthopedic or surgical), debridement, antibiotic therapy and complications.
Results: 19 articles were obtained that met the inclusion and exclusion criteria. The articles had a Level of
Evidence type 2b, 3 and 4.
Conclusions: The articles analyzed have a low level of evidence. Surgical fixation is variable and depends on
bone topography, soft tissue injury, and associated injuries. Deep debridement is associated with higher rates of infection. Stable orthopedically treated fractures should not be debrided as this increases infection rates. Initial intravenous antibiotic therapy should be performed in all patients, subsequent therapy is discussed

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Published

2023-04-19

How to Cite

Puchiele, A., Azziz, A., & Casales, N. (2023). Treatment of gunshot wound fractures. Systematic Review of the literature. Anales De La Facultad De Medicina, 10(1), e303. https://doi.org/10.25184/anfamed2023v10n1a9

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Issue

Vol. 10 No. 1 (2023): Anales de la Facultad de Medicina

Section

Artículos de revisión

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