SciELO - Scientific Electronic Library Online

 
vol.21 número1Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgeryA rare occurrence of ganglion cysts on the posterolateral aspect of the elbow without neurological manifestations: a case series and review of the literature índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

Resumen

FERREIRA, Nando; ANLEY, Cameron  y  JOUBERT, Etienne. Transarticular gunshot injuries: a systematic review of 150 years of management. SA orthop. j. [online]. 2022, vol.21, n.1, pp.44-51. ISSN 2309-8309.  http://dx.doi.org/10.17159/2309-8309/2022/v21n1a7.

BACKGROUND: This review aims to collate all published work on the management of transarticular gunshot injuries to better inform decision-making when managing these injuriesMETHODS: A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was undertaken. A literature search of major electronic databases was conducted to identify journal articles relating to the management of transarticular gunshot injuries published from database inception until 31 January 2021RESULTS: Sixty-eight publications reporting on the management of 544 patients were included. Injuries to the lower limbs were reported in 438 cases (81%), while injuries to the upper limb accounted for 106 cases (19%). A total of 145 patients (27%) developed a deep infection. Following the routine use of antibiotics, 6% of patients (14/251) developed an infection. A significantly higher hip joint infection rate was seen in patients who sustained associated hollow viscus injury (11/30, 37%CONCLUSION: The management of transarticular gunshot injuries is currently based on limited high-quality evidence. Modern antibiotic and surgical management practices have resulted in low overall septic complications; however, different joints have different injury and complication profiles. Future research should be aimed at identifying joint-specific evidence-based care pathwaysLevel of evidence: Level 4

Palabras clave : gunshot; ballistic; joint; transarticular; intra-articular.

        · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons