Unpleasant Traumas of Orthopedics: Firearm Wounds

Yıl 2024, Cilt: 14 Sayı: 2, 177 - 182, 29.08.2024

Mehmet Şah Sakçı , Mümin Karahan

Öz

Aim: This study aimed to examine the clinical outcomes of patients presenting with gunshot wounds who were hospitalized in the orthopedic clinic in the last five years.
Material and Method: The study is a retrospective study with 41 patients. Gender, age, length of hospitalization, injured extremities and regions, presence of fractures and distribution of fractured bones, need for surgery, need for other specialties, distribution of different specialties, additional injuries and complications, and their distribution were investigated.
Results: The mean age of the patients was 39.76±12.77. 92.70% (n=38) of the patients were male, and 7.30% (n=3) were female. The mean duration of hospitalization among the patients was 5.68±3.38 days. It was observed that 80.50% (n=33) of the patients had the most injuries in the lower extremities. 70.70% (n=29) of the patients had a fracture accompanying the firearm injury. The femur was the most commonly fractured bone. Surgery was required in 82.90% (n=34) of the patients. 53.70% (n=22) of the patients had additional injuries and complications.
Conclusion: Firearm injuries are an increasingly frequent and severe orthopedic injury, especially with the increase in individual armament. Therefore, emergency and orthopedic physicians should be equipped for early and effective intervention

Anahtar Kelimeler

gunshot wounds, orthopedics, trauma

Kaynakça

• 1. Peña-Martínez V, Pérez-Rodriguez E, Zamudio-Barrera D, Vilchez-Cavazos F, Requena-Araujo P, Morales-Avalos R, et al. Gunshot wounds during a period of increased violence: Experience in a single orthopedic training center. Orthopaedics & Traumatology, Surgery & Research :OTSR. 2022;108(5):102847.
• 2. Patel J, Leach-Kemon K, Curry G, Naghavi M, Sridhar D. Firearm injury-a preventable public health issue. The Lancet Public Health. 2022;7(11):e976–e982.
• 3. Nance ML, Denysenko L, Durbin DR, Branas CC, Stafford PW, Schwab CW. The rural-urban continuum: variability in statewide serious firearm injuries in children and adolescents. Archives of Pediatrics & Adolescent Medicine. 2002;156(8):781–785.
• 4. Wintemute GJ. The epidemiology of firearm violence in the twenty-first century United States. Annual Review of Public Health. 2015;36:5–19.
• 5. Yasuntimur A, Öğünç Gİ. Bireysel silahlanma ve şiddet: ateşli silah şiddetinin güncel durumu. Güvenlik Bilimleri Dergisi. 2022;11(1):167–200.
• 6. Dougherty PJ, Najibi S, Silverton C, Vaidya R. Gunshot wounds: epidemiology, wound ballistics, and soft-tissue treatment. Instructional Course Lectures. 2009;58:131–139.
• 7. Çöloğlu AS. Adli Olaylarda Kimlik Belirlemesi. In: Soysal Z, Çakalır C; eds. Adli Tıp Cilt 1. 1. baskı, İstanbul: İ.Ü. Tıp Fak. yayınlarından Rektörlük No:4165 Fakülte No:224; 1999. s. 73–92.
• 8. Büken B, Demir F, Büken E. 2001-2003 yılları arasında Abant İzzet Baysal Üniversitesi Düzce Tıp Fakültesi Adli Tıp Anabilim Dalı’na gönderilen yaş tayini olgularının analizi ve adli tıp pratiğinde karşılaşılan güçlükler. Düzce Tıp Fakültesi Dergisi. 2003;5(2):18-23.
• 9. Lichte P, Oberbeck R, Binnebösel M, Wildenauer R, Pape HC, Kobbe P. A civilian perspective on ballistic trauma and gunshot injuries. Scand J Trauma Resusc Emerg Med. 2010;18:35.
• 10. Dodge GG, Cogbill TH, Miller GJ, Landercasper J, Strutt PJ. Gunshot wounds: 10 years experience in a rural, referral trauma center. The American Surgeon. 1994;60(6):401–404.
• 11. Halanski MA, Corden TE. Wisconsin firearm deer hunting season: injuries at a level I trauma center; 1999-2004. WMJ. 2008;107(1):20–24.
• 12. Burg A, Nachum G, Salai M, Haviv B, Heller S, Velkes S, Dudkiewicz I. Treating civilian gunshot wounds to the extremities in a level 1 trauma center: our experience and recommendations. Isr Med Assoc J. 2009;11(9):546–551.
• 13. Özerdemoğlu RA, Yorgancıgil H, Durak K, Özkan Ş. Civilian shotgun wounds of the extremities. Turkish Journal of Bone and Joint Surgery. 1997;3(1-2):36–39.
• 14. Torun F, Torun SD, Yıldırım EA. Silah ruhsatı almak için başvuranlarda depresyon, öfke, aleksitimi ve kişilik özellikleri. Nobel Med. 2011;7(1):61–67.
• 15. Martin LC, McKenney MG, Sosa JL, Ginzburg E, Puente I, Sleeman D, et al. Management of lower extremity arterial trauma. Journal of Trauma and Acute Care Surgery. 1994;37(4):591599.
• 16. Esenkaya İ Av tüfeği yaralanmalarında tapanın çıkarılması. Acta Orthop Traumatol Turc. 2002;36: 236–241.
• 17. Washington ER, Lee WA, Ross Jr WA. Gunshot wounds to the extremities in children and adolescents. The Orthopedic Clinics of North America. 1995;26(1):19–28.
• 18. Stucky W, Loder RT. Extremity gunshot wounds in children. J Pediatr Orthop. 1991;11(1):64–71.
• 19. Phillips P, Kenneth K.H, Emmett EC. Gunshot wounds to the hands. Orth Clin of North America. 1995;26(1).
• 20. Acar E, Armangil M. El yaralanmalari. In: Cander B, editor. Acil Tıp Temel Başvuru Kitabı (Basic guide to emergency medicine). Istanbul: Istanbul Tıp Kitabevleri; 2020. p. 3461–4.
• 21. Khatri JP, Kumar MSingh CM. Primary internal fixation in open fractures of tibia following high-velocity gunshot wounds: a singlecentre experience. International Orthopaedics (SICOT). 2020;44:685–691.
• 22. Ege R. Tibia-Fibula Cisim Kırıkları. Ege, R.(Hazırlayan) Kırıklar, Eklem ve Diğer Yaralanmalar, Travmatoloji. Ankara: Bizim Büro Basımevi; 2001. s. 3923–4093.