Treatment of comminutive fractures by firearm projectiles with adapted wrist external fixator
- 24 Downloads
Facial and mandibular aggression with gunshot wound (GSW) is highly complex and represents a challenge for the assistant surgical team because in addition to the inherent lethal potential, they have the capacity for destruction and mutilation caused by the high kinetic energy conferred to the firearm projectile. Among these lesions, comminutive mandibular fractures are difficult to treat because the anatomical planes are distorted, soft tissues are in severe disarrangement, and bone fragments are without periosteum, which, if opted for an open treatment, with internal fixation, favor the development of soft tissue infections, osteomyelitis, and suture dehiscence. The treatment of comminuted mandibular fractures with external fixator, widely used during the Second World War, represents a modality of treatment that minimizes the risks of failure, since it allows stabilization of the fractured mandible with minimal aggression to the soft tissues.
The objective of this study is to report three cases where surgical procedures were performed to treat comminuted mandible fractures with the adaptation of specific external orthopedic fixator for wrist.
KeywordsFracture fixation Mandibular fractures External fixators
The financial support was provided by the authors and there was not corporate involvement.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
The patients in this study signed a free and informed consent form in which they authorize the publication of their images or photographs in any type of media with educational purpose, research, and dissemination of scientific knowledge.
- 6.Ribeiro ILH, Cerqueira LS, Dultra FK et al (2012) Treatment for fracture mandibular of firearm with external fixation: case report. R Ci Med Biol 11:341–345Google Scholar
- 8.Peled M, Leiser Y, Emodi O, Krausz A (2011) Treatment protocol for high velocity/high energy gunshot injuries to the face. Craniomaxillofac Trauma Reconstr 05:31–40Google Scholar