Shotgun Injuries of the Upper Extremity
作者:
EDWARD LUCE,
WARD GRIFFEN,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1978)
卷期:
Volume 18,
issue 7
页码: 487-492
ISSN:0022-5282
年代: 1978
出版商: OVID
数据来源: OVID
摘要:
Although most reports of civilian gunshot injuries consist mainly of wounds inflicted by handguns, shotgun wounds deserve special consideration. Longrange shotgun wounds rarely pose a problem; however, medium- and closerange wounds of the penetrating and perforating type may inflict substantial soft-tissue loss, bone defects and comminution, and loss of nerve and vessel continuity. Because of the complex and multiple system involvement by shotgun wounds, a greater challenge exists to obtain a successful, functional result. The challenge is most appropriately met by an aggressive approach of early operative exploration and debridement of the wound, internal stabilization of the bony fragments, vascular repair when indicated, and exploration and identification of nerve deficits, followed by an early wound closure.
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