Research Article| Volume 28, SUPPLEMENT 3, C6-C11, 1997

Management of gunshot wounds of the foot

  • Robert C. Durkin
    Address correspondence and reprint requests to: Robert C Durkin MD, Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus Avenue, MU-320 W, San Francisco, CA 94143-0728, (415) 476-1166, (415) 476-1304 fax
    Resident, Department of Orthopaedic Surgery, University of California, San Francisco, USA
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  • R.Richard Coughlin
    Assistant Clinical Professor, Department of Orthopaedic Surgery, San Francisco General Hospital, USA
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      Civilian injuries due to firearms are increasing in the United States (1,2). Criminal violence has sharply increased the incidence of high-velocity wounds in civilian practice (1). Gunshot wounds of the foot represent a special circumstance of the broad spectrum of firearm injuries. A fundamental understanding of the wounding mechanisms involving energy transfer is paramount to effective management. Furthermore, adequate care of the gunshot wound of the foot requires careful consideration of its unique anatomical constraints and of the biomechanical issues regarding weight-bearing and the gait cycle to ensure functional recovery. The purpose of this article is to review an approach to the care of gunshot wounds of the foot based on the literature and the authors' experience treating these injuries at San Francisco General Hospital.


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