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https://doi.org/10.20471/acc.2024.63.01.26

Civilian gunshot victim with low-energy bullet injuries to lower extremities and atypical left distal femur fracture: a case report

Marijana Bekić ; Dubrovnik Medical High School, Dubrovnik, Croatia
Dejan Blažević ; Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia *
Denis Mulabdić ; Dubrovnik General Hospital, Dubrovnik, Croatia
Marko Ostojić ; Department of Orthopedics, Mostar University Hospital, Mostar, Bosnia and Herzegovina
Dinko Vidović ; Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Marijo Bekić ; Dubrovnik General Hospital, Dubrovnik, Croatia

* Corresponding author.

Abstract

This case report details the management of low-velocity gunshot wounds (GSWs)
in a 28-year-old man, emphasizing the distinctive challenges and treatment strategies in urban civilian
settings. This study contributes to medical literature by providing insights into the complexities of
treating atypical fractures caused by GSWs, especially involving nonstandard ammunition. The
patient, involved in an urban gunfight, sustained multiple low-velocity GSWs to his lower limbs.
The diagnoses included an atypical intra-articular fracture in the left distal femur and a foreign body
in the right lower leg. Treatment involved emergency surgery with K-wire stabilization for the left
femur fracture and exploratory surgery for the right leg. No foreign bodies were found in the right
leg, but subsequent analysis revealed pseudo-encapsulated calcification, indicative of previous fat
necrosis. In 15 days after the initial trauma, the final surgical intervention took place, during which a
low-contact condylar plate was placed on the left distal femur. Postoperative recovery was successful,
with the patient regaining full mobility and range of motion after one year. Low-velocity GSWs in
civilian settings can result in complex atypical fractures requiring specialized surgical intervention and
management.

Keywords

Case report; Distal femoral fracture; Gunshot wounds; Intra-articular fractures; Low-velocity trauma; Surgical fixation techniques

Hrčak ID:

322779

URI

https://hrcak.srce.hr/322779

Publication date:

1.4.2024.

Article data in other languages: croatian

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