The American journal of orthopedics
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Controversy exists among the orthopedic community regarding the treatment of gunshot injuries. No consistent treatment algorithm exists for treatment of low energy gunshot wound (GSW) trauma. The purpose of this study was to critically examine the wound contamination following low velocity GSW based upon bullet caliber and clothing fiber type found within the injury track. ⋯ Low velocity GSWs result in significant contamination regardless of bullet caliber and jacket type. Based upon our results further investigation of low velocity GSW tracks is warranted. Further clinical investigation should focus on the degree to which debridement should be undertaken.
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Review Case Reports
Symptomatic hip impingement due to exostosis associated with supra-acetabular pelvic external fixator pin.
Expedient stabilization of unstable pelvic fractures has been shown to significantly reduce morbidity and mortality in the polytrauma patient. Application of a pelvic external fixator is one of the methods used to provide effective pelvic stability. However, pelvic external fixators are not without drawbacks. ⋯ To our knowledge this is the first description of hip impingement due to reactive bone formation secondary to a supra-acetabular pelvic external fixation pin. The impinging bone was completely excised utilizing the anterior approach to the hip. A 40° improvement in the patient's hip flexion range of motion was noted after exostosis excision.