Successful treatment of a delayed presentation of a gunshot injury to the femoral neck in an elderly man: A case report

Cheng Jung Ho, Shao Hung Hung, Hsuan Ti Huang, Peng Ju Huang, Sung Yen Lin, Yin Chih Fu, Jian Chih Chen, Yuh Min Cheng, Lin Kang, Chung Hwan Chen

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Gunshot wounds involving major joints can be lethal as a result of the disruption to major neurovascular tracts. We report on a high-energy ballistic injury resulting in a comminuted femoral neck fracture in an elderly patient with a surgical delay exceeding 20 h. The patient underwent bipolar hemiarthroplasty and led a functional, satisfactory life after surgery. Lead intoxication was also identified, and the blood lead concentration was almost two times the positive diagnostic value (25 μg/dL). The rebound in lead concentration suggested delayed lead toxicity. The patient did not have symptoms of plumbism at the last follow-up 4 years after the injury.

Original languageEnglish
Pages (from-to)S131-S133
JournalEuropean Journal of Orthopaedic Surgery and Traumatology
Volume22
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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