Assessment of Union Rates in Ballistic Hand Fractures
Ballistic hand fractures treated with a single surgery demonstrate low union rates (48.5%). Two-stage reconstruction should be considered in all BHFs to improve union rates, particularly when severe comminution or large bony gaps are present. Following stabilization and soft tissue coverage, a second stage with conversion to internal fixation, debridement of devitalized bone, and secondary bone grafting should be performed.
Authors
- Cedar Slovacek (ORCID: https://orcid.org/0000-0002-8569-0463)
- Kayla Prezelski (ORCID: https://orcid.org/0000-0002-1267-9124)
- Heidi Israel (ORCID: https://orcid.org/0000-0001-7419-7764)
- Brian Mailey (ORCID: https://orcid.org/0000-0002-2846-7556)
- Alejandro Rodríguez Ruiz (ORCID: https://orcid.org/0000-0002-8590-7693)
- Andi Zhang (ORCID: https://orcid.org/0009-0007-4855-5442)
- Kevin Chen (ORCID: https://orcid.org/0000-0002-1004-8310)
Institutions
- Saint Louis University (US)
Publication Details
- Journal
- Hand
- Published
- 2025-04-03
- DOI
- https://doi.org/10.1177/15589447251325819
- Primary Topic
- Orthopedic Surgery and Rehabilitation
- Type
- article
- Field-Weighted Citation Impact
- 0.00