Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons

Dienstknecht, Thomas; Horst, Klemens; Sellei, Richard Martin; Berner, Arne; Nerlich, Michael; Hardcastle, Timothy Craig

doi:10.1007/s00068-011-0170-x

Cited by 49 publications

(27 citation statements)

References 33 publications

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“…TTE can provide important information [ 2 ] . Other imaging tests, such as radiography or CT, can be used to precisely locate the projectile [ 5 , 6 ] . The presence of metal fragments contraindicates the use of magnetic resonance in this context [ 6 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical intervention should be carried out when the projectile is lodged in the lumen of important vessels, especially in cases involving arteries that perfuse extremities or the extracranial internal carotid artery [ 6 ] . In these specific cases, the extraction of the projectile or fragment must be done at the earliest possible opportunity [ 3 ] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Embolization by Bullet Dislodged from the Heart

Santos¹,

Tchaick²,

Ferraz³

et al. 2017

Braz J Cardiovasc Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Embolization by Bullet Dislodged from the Heart

Santos¹,

Tchaick²,

Ferraz³

et al. 2017

Braz J Cardiovasc Surg

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show abstract

“…In the bone and soft tissue, the retained fragments are surrounded by brotic avascular scar tissue preventing lead dissolution and migration [3]. However, the literature has documented some cases of systemic lead intoxication in patients whose bullets are in contact with synovial and cerebrospinal uid [4]. A bullet that passes into the hip joint is rarely cause an infection, but a transabdominal trajectory that subsequently enters the hip joint indicate a high risk for infection after total hip arthroplasty [5].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

Özden¹,

Davut

Doğramacı

et al. 2020

Preprint

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Background: In gunshot and shell fragment injuries to the hip joint, orthopaedic intervention includes wound assessment and care, osteosynthesis of fractures, and avoiding of infection and osteoarthritis. The aim of this study was to evaluate the outcomes of the patients with secondary hip arthritis due to prior gunshot and shell fragment (shrapnel) injuries who underwent primary total hip arthroplasty. Methods: This retrospective study reviewed 26 patients (24 males, 2 females) who underwent hip arthroplasty due to prior gunshot and shell fragment injuries from November 2013 to January 2019. For all patients Harris Hip Score (HHS) were evaluated preoperatively and after surgery. Results: Mean age was 31,5 (range, 19-48) years. The mean preoperative HHS was 52.95 points and the mean postoperative HHS was 79.92 points at the final follow-up after surgery. Patients with shell fragment injuries to the hip joint, had higher infection rates but it is not statistically significant.Conclusions: An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot and shell fragment related posttraumatic arthritis. It is efective treatment choice to reduce pain and improve function but the surgeon must be very carefull because of high rate of infection.

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“…In the bone and soft tissue, the retained fragments are surrounded by brotic avascular scar tissue preventing lead dissolution and migration [8]. However, the literature has documented some cases of systemic lead intoxication in patients whose bullets are in contact with synovial and cerebrospinal uid [9]. A bullet that passes into the hip joint is rarely cause an infection, but a transabdominal trajectory that subsequently enters the hip joint indicate a high risk for infection after total hip arthroplasty [10].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

Özden

Davut

Doğramacı

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In gunshot and shell fragment injuries to the hip joint, orthopaedic intervention includes wound assessment and care, osteosynthesis of fractures, and avoiding of infection and osteoarthritis. Individuals injured in the syrian civil war were frequently transferred to the author's institution in neighboring city. Orthopaedic trauma exposures were determined in approximately 30% of these patients. The aim of this study was to evaluate the outcomes of the patients with secondary hip arthritis due to prior gunshot and shell fragment (shrapnel) injuries who underwent primary total hip arthroplasty. Methods: This retrospective study reviewed 26 patients (24 males, 2 females) who underwent hip arthroplasty due to prior gunshot and shell fragment injuries from November 2013 to January 2019. For all patients Harris Hip Score (HHS) were evaluated preoperatively and after surgery. Results: Mean age was 31,5 (range, 19-48) years. The mean preoperative HHS was 52.95 points and the mean postoperative HHS was 79.92 points at the final follow-up after surgery. Patients with shell fragment injuries to the hip joint, had higher infection rates but it is not statistically significant.Conclusions: An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot and shell fragment related posttraumatic arthritis. It is efective treatment choice to reduce pain and improve function but the surgeon must be very carefull because of high rate of infection.

show abstract

Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons

Cited by 49 publications

References 33 publications

Embolization by Bullet Dislodged from the Heart

Embolization by Bullet Dislodged from the Heart

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

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