Resumo

FERREIRA, Nando; ANLEY, Cameron  e  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

Palavras-chave : gunshot; ballistic; joint; transarticular; intra-articular.

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