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Outcomes and Complications Associated with Acute Gunshot Fractures in Cats and DogsFunding None.
Objective The aim of this study was to summarize outcomes and complications of gunshot fracture management in small animals.
Study Design Review of cats and dogs with radiographically confirmed acute gunshot fractures, presenting data on signalment, fracture location, fracture management (surgical vs. non-surgical, type of surgical repair), fracture comminution, extent of soft tissue trauma, postoperative complication and overall outcome. A poor outcome was defined as patient death, major postoperative complication or limb amputation (both as primary treatment or secondary to postoperative complications).
Results Ninety-seven animals with 137 acute gunshot-induced fractures were identified. There were 21 (15.3%) maxillofacial, 16 (11.7%) vertebral column, 8 (5.8%) rib, 56 (40.9%) distal long bone (below stifle/cubital joint) and 36 (26.3%) proximal long bone (at or above stifle/cubital joint) fractures. Overall, 20/37 cases with sufficient follow-up details incurred a poor fracture outcome. Extensive soft tissue trauma at the fracture site was associated with an increased likelihood of poor outcome. The most common poor outcomes were primary limb amputations (7 cases) and postoperative complications (3 osteomyelitis/surgical site infections, 4 delayed/non-unions).
Conclusion Gunshot fractures overall have high likelihood of poor outcome. Severe soft tissue injury is associated with complications. Mitigating poor outcome likely requires early aggressive wound management.
K.S., S.C.K. and N.J. contributed to the study conception and design. K.S. and S.C.K. acquired the data, and N.J. conducted data analysis. All authors participated in data interpretation, drafting and revising the manuscript and approval of the final manuscript.
Received: 13 January 2021
Accepted: 04 October 2021
Article published online:
07 December 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
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- 1 Madhu DN, Monsang SW, Singh J. et al. Gunshot wound in a dog and its management. Ind J Canine Pract 2014; 6 (02) 154-155
- 2 Pavletic M. Gunshot wound management. Compend Contin Educ Pract Vet 1996; 12 (18) 1285-1299
- 3 Pavletic MM, Trout NJ. Bullet, bite, and burn wounds in dogs and cats. Vet Clin North Am Small Anim Pract 2006; 36 (04) 873-893
- 4 Bebchuk TN, Harari J. Gunshot injuries: pathophysiology and treatments. Vet Clin North Am Small Anim Pract 1995; 25 (05) 1111-1126
- 5 Heard B. Handbook of Firearms and Ballistics. John Wiley and Sons; West Sussex, UK: 1997
- 6 Olsen LE, Streeter EM, DeCook RR. Review of gunshot injuries in cats and dogs and utility of a triage scoring system to predict short-term outcome: 37 cases (2003-2008). J Am Vet Med Assoc 2014; 245 (08) 923-929
- 7 Pavletic M. A review of 121 gunshot wounds in the dog and cat. Vet Surg 1985; 14: 61-62
- 8 Schwach R, Park R, Piermattei D, Wayne E, Bartels K. Gunshot fractures of extremities: classification, management, and complications. Vet Surg 1979; 8 (03) 57-62
- 9 Doherty MA, Smith MM. Contamination and infection of fractures resulting from gunshot trauma in dogs: 20 cases (1987-1992). J Am Vet Med Assoc 1995; 206 (02) 203-205
- 10 Houlton JEF, Dunning D. Perioperative patient management. In: AL Johnson, JEF Houlton, R Vannini, (eds). AO Principles of Fracture Management in the Dog and Cat. AO Publishing; Davos Platz, Switzerland: 2005: 1-25
- 11 Johnson AL, Smith CW, Schaeffer DJ. Fragment reconstruction and bone plate fixation versus bridging plate fixation for treating highly comminuted femoral fractures in dogs: 35 cases (1987-1997). J Am Vet Med Assoc 1998; 213 (08) 1157-1161
- 12 Engelmann EWM, Roche S, Maqungo S, Naude D, Held M. Treating fractures in upper limb gunshot injuries: the Cape Town experience. Orthop Traumatol Surg Res 2019; 105 (03) 517-522
- 13 Capak H, Brkljaca Bottegaro N, Manojlovic A, Smolec O, Vnuk D. Review of 166 gunshot injury cases in dogs. Top Companion Anim Med 2016; 31 (04) 146-151
- 14 Baker JL, Truesdale CA, Schlanser JR. Overview of combat trauma in military working dogs in Iraq and Afghanistan. US Army Med Dep J 2009; 33-37
- 15 Arnault F, Maitre P, Cachon T. et al. Treatment of a nonunion, secondary to gunshot fracture, of the distal radius with circular external fixation and rhBMP-2 in a cat. Vet Comp Orthop Traumatol 2011; 24 (04) 289-293
- 16 Lewis JR, Boudrieau RJ, Reiter AM, Seeherman HJ, Gilley RS. Mandibular reconstruction after gunshot trauma in a dog by use of recombinant human bone morphogenetic protein-2. J Am Vet Med Assoc 2008; 233 (10) 1598-1604