Management of Civilian Low-Velocity Gunshot Injuries to an Extremity

Justin T. Jabara, Nicholas P. Gannon, Heather A. Vallier, Mai P. Nguyen

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1026-1037
Number of pages12
JournalJournal of Bone and Joint Surgery
Issue number11
StatePublished - Jun 2 2021

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