Evidence map›Paper›PMID 33760996›Full record

ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

Civilian gunshot injuries in orthopaedics: a narrative review of ballistics, current concepts, and the South African experience.

Maritz Laubscher, Nando Ferreira, Franz Friedrich Birkholtz, Simon Matthew Graham, Sithombo Maqungo, Michael Held

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
  2. Fracture related infection complicating civilian ballistic wounds in the amasonian zone.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  3. 2024 international trauma care forum guest nation symposium: gunshot injuries.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  4. Article
  5. "Natural history of low velocity ballistic nerve injuries to the humerus".Archives of orthopaedic and trauma surgery · 2025
    Article
  6. Article
  7. The ballistic articular structure injury classification (BASIC) system: clarifying ballistic articular injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  8. Article
  9. Orthopaedic education: a COVID-driven evolution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Maritz LaubscherOrthopaedic Research Unit, Division of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa. maritz.laubscher@uct.ac.za.ORCID http://orcid.org/0000-0002-5989-8383
Nando FerreiraDivision of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, 7505, South Africa.ORCID http://orcid.org/0000-0002-0567-3373
Franz Friedrich BirkholtzWalk-A-Mile Centre and Department of Orthopaedics, University of Pretoria, Pretoria, 0002, South Africa.ORCID http://orcid.org/0000-0001-7197-6076
Simon Matthew GrahamOrthopaedic Research Unit, Division of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa.
Sithombo MaqungoOrthopaedic Research Unit, Division of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa.ORCID http://orcid.org/0000-0002-8735-8341
Michael HeldOrthopaedic Research Unit, Division of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa.ORCID http://orcid.org/0000-0002-0671-0439
University of Cape Town · ZAStellenbosch University · ZAUniversity of Liverpool · GBUniversity of Pretoria · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of civilian gunshot injuries is on the rise worldwide.Unfortunately, there is a lack of high-level evidence guiding management. The treatment of orthopaedic injuries from gunshots is complex and requires consideration of multiple aspects, including energy transfer to the tissue, severity of the wound, possible contamination, presence of fractures and associated injuries. With this narrative review we aim to discuss some of the relevant ballistics, current concepts, and controversies in the general management of civilian gunshot-related orthopaedic injuries based on the available evidence and personal experience. Important points which will be highlighted are the initial management in the emergency room, the assessment and management of soft tissue injuries, associated injuries, use of antibiotics, indication and techniques for fracture fixation, and gunshot injuries to joints.

Indexed as

Fractures, BoneOrthopedicsWounds, GunshotForensic BallisticsFracture FixationHumansBallisticBulletCivilianGunshotOrthoballistic

Identifiers

PMID33760996
OpenAlexW3139453149

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.