Treatment of secondary hip arthritis from shell fragment and gunshot injury in the Syrian civil war

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dc.authoriddavut, serkan/0000-0003-3871-786X
dc.contributor.authorOzden, Raif
dc.contributor.authorDavut, Serkan
dc.contributor.authorDogramaci, Yunus
dc.contributor.authorKalacı, Aydıner
dc.contributor.authorDuman, Ibrahim Gokhan
dc.contributor.authorUruc, Vedat
dc.date.accessioned2024-09-18T20:02:39Z
dc.date.available2024-09-18T20:02:39Z
dc.date.issued2020
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground In gunshot and shell fragment injuries to the hip joint, orthopedic intervention includes wound assessment and care, osteosynthesis of fractures, and avoiding of infection and osteoarthritis. Individuals injured in the Syrian civil war were frequently transferred to the authors' institution in neighboring city. Orthopedic trauma exposures were determined in approximately 30% of these patients. The aim of this study was to evaluate the outcomes of the patients with secondary hip arthritis due to prior gunshot and shell fragment (shrapnel) injuries who underwent primary total hip arthroplasty. Methods This retrospective study reviewed 26 patients (24 males, 2 females) who underwent hip arthroplasty due to prior gunshot and shell fragment injuries from November 2013 to January 2019. For all patients, the Harris Hip Score (HHS) was evaluated preoperatively and after surgery. Results Mean age was 31.5 (range, 19-48) years. The mean preoperative HHS was 52.95 points, and the mean postoperative HHS was 79.92 points at the final follow-up after surgery. Patients with shell fragment injuries to the hip joint had higher infection rates, but it is not statistically significant. Conclusions An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot- and shell fragment-related posttraumatic arthritis. It is an effective treatment choice to reduce pain and improve function, but the surgeon must be very careful because of high rate of infection.en_US
dc.identifier.doi10.1186/s13018-020-01993-z
dc.identifier.issn1749-799X
dc.identifier.issue1en_US
dc.identifier.pmid33032647en_US
dc.identifier.scopus2-s2.0-85092573564en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s13018-020-01993-z
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7943
dc.identifier.volume15en_US
dc.identifier.wosWOS:000581390500002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArthroplastyen_US
dc.subjectHip gunshoten_US
dc.subjectSecondary hip osteoarthritisen_US
dc.subjectShell fragment injuriesen_US
dc.titleTreatment of secondary hip arthritis from shell fragment and gunshot injury in the Syrian civil waren_US
dc.typeArticleen_US

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