The management of open fracture shaft of long bones of lower limb caused by fire arm injury in adult.-- a prospective review. | [Pakistan Postgraduate Medical Journal • 2004]

Author(s):

1. Ghulam Murtaza Cheema: Postgraduate Medical Institute, King Edward Medical College /Mayo Hospital, Lahore, Pakistan

2. M. Iqbal: Postgraduate Medical Institute, King Edward Medical College /Mayo Hospital, Lahore, Pakistan

3. Javed Hasan Khan: Postgraduate Medical Institute, King Edward Medical College /Mayo Hospital, Lahore, Pakistan

4. Rana Arshad: Postgraduate Medical Institute, King Edward Medical College /Mayo Hospital, Lahore, Pakistan

5. Aftab Ahmed: Postgraduate Medical Institute, King Edward Medical College /Mayo Hospital, Lahore, Pakistan

Abstract:

Various surgical and non surgical techniques are available for treatment of fracture but fractures caused by Fire Arm Injuries is still a posing problem for orthopaedic surgeon. In USA. Fire Arm Injuries deaths is leading, cause of death in young. While in Pakistan it account to be over 2000 deaths in 1995. Fatality depends upon type of weapon type of missile and distance from victim. Keeping in view of facts a study of 50 patients conducted. In Mayo Hospital Lahore on "Management of open long bone fracture in adults caused by FAI". After Treatment all patients were followed at weekly interval for six weeks, fort nightly till three months and monthly till six months. Exercises and early rehabilitation is encouraged. In this study fractures in shaft of long bones are managed by differents methods i.e. POP, DHS, Pin Plaster, Closed nailing dynamic & Static cortical screw external fixator etc. Complications are usually high in shotgun group as compared to bullet the reason behind is extensive trauma caused by shotgun and soft tissue coverage and fracture fixation takes more time for complete healing and recovery. It was concluded from study all open fractures should by dealt by Senior orthopedic surgeon and through leavage with definitive debridement should be done on first hand. Prophylactic antibiotics should be started. Definitive treatment should be planned depending upon the site, type of fracture, vascularity of area and soft tissue coverage.

Page(s): 139-143

DOI: DOI not available

Published: Journal: Pakistan Postgraduate Medical Journal, Volume: 15, Issue: 3, Year: 2004

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