Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 18, Issue 5 , Pages 532-537, May 2002

Arthroscopic treatment of a transarticular low-velocity gunshot wound using tractoscopy☆☆

William Beaumont Army Medical Center, El Paso, Texas, U.S.A.

Abstract 

An unusual case of a close-range, low-velocity gunshot wound to the knee is presented. Arthroscopic debridement was accomplished using standard anterior portals as well as the existing entry and exit wounds. All bullet fragments were successfully removed from the joint by arthroscopy and tractoscopy. A minimally displaced marginal, lateral tibial plateau fracture was observed and treated with restricted weight bearing and active motion. The patient recovered uneventfully and maintained full knee range of motion and a normal gait.

Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 18, No 5 (May-June), 2002: pp 532–537

Keywords:  Gunshot wound, Tibia, Fracture, Arthroscopy, Debridement, Plumbism

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 Address correspondence and reprint requests to LTC Winston J. Warme, M.D., William Beaumont Army Medical Center, 5005 N Piedras, El Paso, TX 79920, U.S.A. E-mail: Winston.Warme@amedd.army.mil

☆☆ The authors have not received anything of value from any institution for this work. The views of the authors do not necessarily represent those of the Department of Defense or of the United States Army.

PII: S0749-8063(02)69647-1

doi:10.1053/jars.2002.31963

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 18, Issue 5 , Pages 532-537, May 2002