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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2000, Number 4

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Acta Ortop Mex 2000; 14 (4)

Comprehensive planning for surgical treatment of bull-horn injuries in professional bull-fighters in the Mexico City Valley, 1997-2000. A report of 42 cases

Vázquez-Bayod R, Villanueva SE, Gómez GE
Full text How to cite this article

Language: Spanish
References: 11
Page: 302-308
PDF size: 122.55 Kb.


Key words:

wound, horn, bull, infection, debridement, antibiotics.

ABSTRACT

This is a series of 31 patients who underwent 42 wounds produced by bull-horn. All patients were professional bull-figthers and were treated from February 1997 through September 2000. Surgical treatment was applied between 3 and 8 hours after wound, by wide debridement, in particular by searching several directions of damaged tissue as well as ample lavage and removing of foreign bodies from wound. Primary closure was performed in all cases since patients were operated on while in period of non-establishment of clinical infection, as well as by the criteria of local debridement quality and as a result of routine employment of prophylactic antibiotics such as intravenous ceftriaxone for the first 5 to 6 days and cyprofloxacine PO for 8 more days. No case of infection was recorded in the present series. Complications were 5 cases of wound dehiscence as a result of ample debridement, one case of skin nechrosis and 2 hematoma. All complications were solved by second operations.


REFERENCES

  1. Badia JM, Torres JM. Saline wound irrigation reduces the postoperative infection. J Surg Res 1996; 63(2): 457-9.

  2. Bandari M, Schemitsch EH. High and low pressure pulsatil lavage of contaminated tibial fractures. J Orthop Trauma 1999; 13(8): 526-33.

  3. Bangartz W, Lindner HO. Primary suture of older and contaminated wounds. Chirurg 1998; 59 (11): 767-70.

  4. Elliot DC. Necrotizing soft tissue infections. Ann Surg 1996; 224(5): 673-83.

  5. Edlich RF, Rodcheaver GT. Principles of emergency wound management. Ann Emerg Med 1988; 17(12): 1284-302.

  6. Eron LJ. Targeting lurkin pathogens in acute traumatic and chronic wounds. J Emerg Med 1999; 17(1): 189-95.

  7. Howell JM, Dhindsa HS. Effect on scrubbing and irrigation on staphylococal and streptococal counts in contaminated laceration. Antimicrob Agents Chemother 1993; 37(12): 2754-5.

  8. Kimpk, Deutschman CS. Inflammatory response and mediators. Surg Clin North Am 2000; 80(3): 885-94.

  9. Moscati R, Mayrose J. Comparison of normal salin whit tap water for wound irrigation. Am J Emerg Med 1998; 16(4): 379-81.

  10. Polk HC Jr. Factors influence the risk of infection after trauma. Am J Surg 1993; 165(2-A): 2S-7S.

  11. Vega D, Tellado JM. Evidence based medicine in antimicrobial surgical prophylaxis. Enferm Infec Microbiol Clin 1999; 17(2): 52-8.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2000 Jul-Ago;14