ArticleJournal of orthopaedic surgery and research2020
Treatment of secondary hip arthritis from shell fragment and gunshot injury in the Syrian civil war.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Total hip replacement after gunshot hip injuries: a severity-based clinical framework-a single-centre experience.Journal of orthopaedic surgery and research · 2026Article
- Primary Total Knee Arthroplasty for Bullet-Induced Lead Arthropathy.Arthroplasty today · 2025Article
- Total Hip Arthroplasty After Gunshot-Related Hip Injuries: Case Series and Review of Literature.Arthroplasty today · 2025Review
- Article
- Total hip arthroplasty for post-firearm hip arthritis complicated by coloarticular fistula: A case report.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Two-step sequential management for hip arthroplasty after hip joint gunshot injury: A case report.Clinical case reports · 2023Article
- Gunshot Wounds: Ballistics, Pathology, and Treatment Recommendations, with a Focus on Retained Bullets.Orthopedic research and reviews · 2022Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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.
methodsThis 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.
resultsMean 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.
conclusionsAn 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.
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