AI Summary & Key Takeaways
AI InsightWe observed that parenteral antibiotics should be administered and that delayed internal fixation should be performed in the treatment of subtrochanteric femoral fractures due to high-velocity gunshot injury.
📌 3 Key Takeaways
Abstract
In this study, between 1991 to 1995, sixteen patients who had fracture of subtrochanteric femur due to high-velocity gunshot injury were reviewed. The patients were treated by wound debridement, skeletal traction, delayed primary wound repair, parenteral antibiotics and delayed internal fixation with 95¡ AO condylar blade-plate. Internal fixation was performed on average 16 day after trauma. The patients were followed up for an average of twenty eight months. There were two superficial infections that were controlled by local wound care and antibiotics. There were no deep infections or osteomyelitis. Other complications involved were one loss of fixation with non-union and one malunion. The clinical results were satisfactory in 14 patients (87.5%). We observed that parenteral antibiotics should be administered and that delayed internal fixation should be performed in the treatment of subtrochanteric femoral fractures due to high-velocity gunshot injury.
Özet
Bu çalışmada 1991-1995 yılları arasında yüksek enerjili ateşli silah yaralanmasıyla oluşan 16 subtrokanterik femur kırığının sonuçları değerlendirildi. Hastalara yara debridmanı, parenteral antibiyoterapi, iskelet frak-siyonu, tersiyer yara kapatılmasi ve 95°'lik AO kondiler plakla geç internal fiksasyon yapılarak tedavi edildi. İnternal fiksasyon yaralanmadan ortalama 16 gün sonra yapıldı. Hastalar ortalama 28 ay takip edildi. Komplikasyon olarak iki hastada yüzeyel enfeksiyon, bir hastada malunion ve bir hastada pseudoartroz ve fiksasyon kaybı görüldü. Hastaların %87.5'inde başarılı sonuç aldık. Yüksek velositeli ateşli silaha bağlı subtrokanterik kırıklarda parenteral antibiyoterapi kullanılması ve geç internal fiksasyon yapılmasi gerektiği sonucuna vardık.