The standard care in the management of acute gunshot fractures
includes stabilization of the peripheral vascular and cardiovascular systems, tetanus prophylaxis, removal of the bullet, wound debridement, irrigation with saline solution, soft-tissue coverage, and stable fracture fixation.
Causes were grouped into seven categories: road traffic collisions, sports accidents, occupational accidents, gunshot fractures
, falls, violence and other causes.
Timing of internal fixation in low-velocity extremity gunshot fractures
Specifically, "spinal gunshot fractures
, that were not appreciated on plain radiographs, were commonly detected" by CT and HCT holography.
22) Patzakis and colleagues, in a review of 78 gunshot fractures, compared patients who were and were not treated with antibiotics.
27) Finally, Woloszyn and coworkers treated low-velocity gunshot fractures in the emergency room with superficial debridement, cast immobilization, and antibiotics.
The majority of gunshot fractures encountered in a civilian population are low velocity with minimal soft-tissue damage.