Author/Authors :
Cervelli, Valerio Department of Plastic and Reconstructive Surgery - University of Rome, Italy , Gentile, Pietro Department of Regenerative Surgery - University of Rome, Italy , Brinci, Lorenzo Department of Plastic and Reconstructive Surgery - University of Rome, Italy , Pasquali, Camilla Di Department of Plastic and Reconstructive Surgery - University of Rome, Italy , Bocchini, Ilaria Department of Plastic and Reconstructive Surgery - University of Rome, Italy , Angelis, Barbara De Department of Plastic and Reconstructive Surgery - University of Rome, Italy
Abstract :
In the view of efficiency and cost effectiveness the increasing incidence of gunshot wounds demands a modification of treatment protocols. The general basis are antibiotics, fracture stabilization and debridement of soft tissue injuries. The pathology of gunshot wounds and established treatment algorithm however have to be adjusted to the ongoing development of gun technology and the thereby caused specific lesions. In most of the cases it is difficult to obtain a complete healing, because of the complexity of different tissues. Moreover the presence of foreign bodies and the tendency to develop infections, slow down the healing process.1 There are many ways to treat firearm wound such as advanced dressings, negative pressure wound therapy, surgical toilet, dermal substitute and autologous skin grafting, free or local flaps. It depends on the extent of lesion, the type of firearm, the localization and the general health of patient.2 The purpose of our case report was to determine how platelet rich plasma (PRP) and hyaluronic acid (HA) help healing of extremity gunshot injuries.
Keywords :
Platelet rich plasma (PRP) , Hyaluronic acid (HA) , Extremity , Gunshot injuries
