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Rates of neurovascular injury, compartment syndrome, and early infection in operatively treated civilian ballistic forearm fractures

Injury Oct 11, 2018

Mehta SK, et al. - Researchers investigated the incidence of neurovascular injuries, compartment syndrome, early postoperative infection as well as the injury factors predictive of neurovascular injury following ballistic forearm fractures via retrospectively reviewing all ballistic fractures of the radius and ulna in skeletally mature patients over a 5-year period at a single level-1 trauma center. Outcomes suggest ballistic forearm fractures as complex injuries that result in high rates of neurologic (50%) and vascular injuries (32%). A neurologic injury was more frequently noted among proximal 1/3 ballistic forearm fractures than ballistic fractures in the more distal forearm. High-velocity ballistic forearm fractures require more procedures for reconstruction and universally sustain neurologic injuries.
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