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  • Title: Management of Civilian Low-Velocity Gunshot Injuries to an Extremity.
    Author: Jabara JT, Gannon NP, Vallier HA, Nguyen MP.
    Journal: J Bone Joint Surg Am; 2021 Jun 02; 103(11):1026-1037. PubMed ID: 33755646.
    Abstract:
    ➤: Despite an increasing rate of civilian low-velocity gunshot injuries, there remains a lack of evidence-based treatment standards. ➤: Most low-velocity gunshot-induced fractures of the extremity can be managed similarly to non-gunshot-induced fractures, with the goals of restoring function and minimizing complications. ➤: There are a limited number of high-quality studies to support the use of prophylactic antibiotics for nonoperatively treated gunshot wounds. ➤: Intra-articular retained bullets should be removed, while prophylactic irrigation and debridement for a transarticular bullet is not routinely warranted for infection prevention. ➤: Much of the literature on low-velocity gunshot wounds is Level-III or IV evidence, warranting the need for higher-powered, randomized, prospective investigations.
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