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Do Gunshot and Explosion Injuries Differ in Severity and Management? A Multicenter Study of Upper Extremity Trauma in the 2023 Israel-Gaza Conflict.
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Department of Orthopaedic Surgery, Chaim Sheba Medical Center, Tel-Aviv University, Tel-Hashomer, Israel, Affiliated with the Faculty of Medicine of Tel-Aviv University, Ramat-Aviv, Tel-Aviv, Israel.
Background: In 2023, the Israel-Gaza conflict escalated with the October 7, 2023, attack that has led to prolonged warfare. Upper extremity injuries, often resulting from explosions or gunshot wounds, have been a major cause of disability in this conflict. While previous studies have examined blast and ballistic trauma separately, there is a lack of direct, large-scale comparisons of their injury patterns, severity, and clinical management in a real-world conflict setting.
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Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA. Electronic address:
Gunshot Injuries to the Elbow.
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In this article, we give a thorough summary of the management of low-velocity ballistic injuries to the elbow. We discuss initial stabilization, antibiotic coverage, management of concomitant nerve injuries, fracture fixation, soft tissue coverage, and complications commonly seen with these injuries. This review aims to equip the upper extremity surgeon with a systematic approach to ballistic elbow trauma and aid in the decision-making process for these difficult injuries.
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Ballistic injuries from projectiles such as bullets and shrapnel pose significant public health challenges, particularly in the upper extremities, leading to complex reconstructive needs. This article provides an overview of soft tissue reconstruction of ballistic injuries to the upper extremity. Management involves initial stabilization, staged debridement, and subsequent reconstruction depending on the defect which can range from simple debridement and local flaps for low energy projectiles and more extensive procedures for high energy projectiles, including negative pressure wound therapy, locoregional flaps, and possibly free flaps.
View Article and Find Full Text PDFEpidemiology of Ballistic Upper Extremity Injuries: Identifying Factors and Future Strategies.
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Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Michigan Medicine, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA. Electronic address:
Ballistic injuries of the upper extremity account for a considerable portion of ballistic injuries, resulting in morbidity for the patient and high healthcare costs. Patients sustaining ballistic injuries have a wide range of features and injury patterns. Frontline providers and institutional policy makers can help decrease the morbidity and socioeconomic burden linked with the injuries by better categorizing these injuries.
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