@article{ref1,
title="Firearm-related fractures: epidemiology and infection rate",
journal="Revista brasileira de ortopedia (Sao Paulo)",
year="2020",
author="Baumfeld, Daniel and Brito, Auro Sérgio Perdigão de and Torres, Maíra Soares and Prado, Kassio Lohner and de Andrade, Marco Antonio Percope and Campos, Tulio Vinicius de Oliveira",
volume="55",
number="5",
pages="625-628",
abstract="OBJECTIVE  To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. <br><br>METHODS  A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. <br><br>RESULTS  There was surgical-site infection in 8.5% of the fractures, and the mean number of debridements required to control the infectious process was of 1.273 ± 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment ( p  < 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection ( p  < 0.001; Chi-squared test). <br><br>CONCLUSION  Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious complications in patients submitted to external fixation was found, as expected.<p /> <p>Language: en</p>",
language="en",
issn="0102-3616",
doi="10.1055/s-0040-1702960",
url="http://dx.doi.org/10.1055/s-0040-1702960"
}