BACKGROUND: Lower extremity @entity130 secondary to @entity18329 are frequently seen in the civilian populations of urban areas. Although these wounds have fewer complications than high-energy gunshot @entity130 , the functional and @entity16 is still significant making appropriate timely orthopaedic treatment and follow-up imperative. PURPOSE: The purpose of this study is to present our outcomes in the treatment of @entity18329 in a civilian population at an urban, level one @entity130 center in @entity1 treated by a standard protocol. METHODS: One hundred and thirty three @entity1 who sustained 148 gunshot wound @entity130 were treated at our level one @entity130 center between January 1(st), 2009 and October 1(st), 2011. Following IRB approval, we extracted information from medical records regarding hospital course, length of stay and type of operative or non-operative treatment. If available, injury and post-operative radiographs were also reviewed. @entity1 were contacted by telephone to obtain Short Musculoskeletal Function Assessment (SMFA) surveys, @entity158 on a scale of 0-10 and for the determination of any adverse events related to their shooting. RESULTS: There were 125 @entity1 (94.0%) and 8 @entity1 (6.0%) with an average age of 27.1 years (range 15.2-56.3). Seventy-six @entity1 (57.1%) did not have any health insurance upon admission. The average length of stay in the hospital was 4.5 days (range 0.0-88.0). Fifty-one gun shots (34.5%) resulted in @entity174 of the lower extremities. @entity1 underwent a total of 95 lower extremity-related procedures during their hospitalization. Twenty-two @entity1 (16.5%) experienced a complication related to their gunshot wounds. 38% of the cohort was available for long-term functional assessment At a mean 23.5 months (range 8-48) of follow up, @entity1 reported mean Functional and Bothersome SMFA scores of 19.6 (SD 15.9) and 10.9 (SD 15.6) suggesting that these @entity1 have poorer function scores than the general population. These @entity1 still had @entity158 related to their @entity130 with an average @entity158 score of 2.16 (range 0-8). CONCLUSIONS: Gunshot @entity130 to the extremities may involve bone, soft tissue, and @entity531 . Execution of appropriate therapeutic methods in such situations is critical for treating surgeons given the potential for complications. At our level one @entity130 center, gunshot victims were predominantly young, uninsured adult @entity1 . Complications included @entity281 , and @entity1317 . Functional data collected demonstrated that @entity1 continued to have difficulties with ADL's at long-term follow-up.

Outcomes Following Low-Energy Civilian Gunshot Wound @entity130 to the Lower Extremities: Results of a Standard Protocol at an Urban XXXX Center.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity18329 :: ('MESH:D014948', 'Disease') :: ['low-energy gunshot wounds'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity16 :: ('MESH:D009422', 'Disease') :: ['psychological damage'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection, compartment syndrome'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['arterial injuries'] @entity531 :: ('MESH:D013901', 'Disease') :: ['neurovascular structures'] @entity130 :: ('MESH:D014947', 'Disease') :: ['gunshot injury', 'injuries', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
