| Autor: |
Kyle Lacy, M.D., M.S., Chris Cooke, M.D., Pat Cooke, B.A., Frederick Tonnos, D.O. |
| Jazyk: |
angličtina |
| Rok vydání: |
2016 |
| Předmět: |
|
| Zdroj: |
Arthroscopy Techniques, Vol 5, Iss 1, Pp e27-e32 (2016) |
| Druh dokumentu: |
article |
| ISSN: |
2212-6287 |
| DOI: |
10.1016/j.eats.2015.09.004 |
| Popis: |
Arthroscopic techniques are effective for the removal of intra-articular bullet and metal fragments after gunshot wounds to the shoulder, hip, knee, and sacroiliac joints. Surgical removal of bullets retained within the synovial joints is indicated; lead is dissolved by synovial fluid over time, leading to proliferative synovitis, lead arthropathy, elevated serum lead levels, and lead toxicity. We present an arthroscopic technique for removal of a shotgun pellet retained within the medial meniscus. In this technique, diagnostic knee arthroscopy is initially performed, which allows for localization of the pellet within the medial meniscus. An up-biter is used to resect the inner rim of meniscus surrounding the pellet, and the pellet is removed with a grasper. This arthroscopic approach is advantageous because it allows for efficient visualization of the pellet within the meniscus, thorough visualization of all compartments of the knee, a reduction in blood loss, and a decrease in surgical morbidity to the surrounding cartilaginous, neurovascular, and soft-tissue structures. This technique may therefore be one option to address bullet fragments or shotgun pellets that are retained within the medial meniscus. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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