Introduction Malunion is a well-recognized complication of long-bone fractures which accounts for more than 25% of injuries in conﬂict zones. The aim of this study was to investigate the rate of malunion sustained by casualties with penetrating gunshot wounds in an International Committee of the Red Cross (ICRC) surgical substitution project in the Democratic Republic of Congo (DRC) and compare these results with current literature. Methods A retrospective cohort study was performed. All patients admitted to the ICRC facility between the periods of 01.10.2014 and 31.12.2015 with long-bone fractures caused by gunshot wound were included, and data were collected retrospectively from the patient’s hospital notes. Results A total of 191 fractures caused by gunshot were treated in the DRC at the ICRC surgical substitution project during the study period. On average, the fractures were 3 days old on admission and were all open, with 62% also being comminuted. The ICRC management protocol, which emphasizes debridement, antibiotic prophylaxis and conservative fracture stabilization, was followed in all cases. Forty-eight percentage of the fractures were ﬁnally classiﬁed as ‘union without complication’; however, 17% were classiﬁed as ‘malunion’. Conclusions This study indicates that open long-bone fractures that are managed by the ICRC surgical
World Journal of Surgery – Springer Journals
Published: May 9, 2017
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