Peculiarities of treatment of patients with gunshot fractures of the leg in Yemen

Abstract

Retrospective analysis of treatment of 232 wounded with gunshot crus fractures was presented. All patients were treated at Jemen Central Hospital ALTAWRA (Sana) from 1966 to 2000. Out of all patients 94% had missile wounds and 6%) comminuted wounds. All wounded were admitted to Hospital during 24 hours after injury. Peculiarities of wound treatment were the following: injured limb after application of author's stabilizing reposition device if necessary was washed by soap-saline solution. Primary debridement was more active compared to classic one and included removal of small osseous fragments and resection of large osseous fragment ends. In 66%) of wounded no complications were observed during postoperative period and healing by first intention was noted. In 8,4%) of patients healing by granulation occurred. In 15% of cases wound suppuration was limited by soft tissues. Osteomyelitis was diagnosed in 8,6% of patients. In 2% of cases crus gangrene followed by vascular thrombosis was developed.