Soft-tissue injury in orthopaedic trauma.

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Abstract

[Indexed for MEDLINE] 11. Orthop Clin North Am. 2013 Oct;44(4):529-40. doi: 10.1016/j.ocl.2013.06.006. Epub 2013 Aug 1. Surgical management principles of gunshot-related fractures. Tosti R(1), Rehman S. Author information: (1)Department of Orthopaedic Surgery and Sports Medicine, School of Medicine, Temple University, 3401 N Broad St, Philadelphia, PA 19140, USA. Electronic address: rtosti@temple.edu. This article discusses contemporary management strategies for gunshot-related fractures with special attention paid to the initial evaluation, role of debridement, principles of fixation, need and duration of antibiotic therapy, and management of sequelae. Pertinent sequelae detailed are fractures associated with vascular injury, compartment syndrome, massive loss of soft tissue and bone, nerve injury, and lead toxicity. Copyright © 2013 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2013.06.006