The Outcome of Retained Metallic Foreign Bodies in Upper and Lower Limbs…………...
Kerbala Journal of Medicine,
2009, Volume 2, Issue 5, Pages 692-696
Abstractbackground: Retained metallic fragments represent a common problem that
can be encountered in surgical practice.
They could be bullets, part of bullets or other fragments and shells from
bombs or mines or in rare occasion, different foreign particles from the environment.
They are always the cause of patients complain to whom they refer their pain or
disabilities and sometime they insist for their removal.
Operations for removal of deep retained foreign bodies are not beneficial, take long
time and consume a lot of materials and sometime could be very risky, cause more
damage and in some cases, ended without finding the foreign body.
There are only few indications for removal of retained metallic fragments.
Objectives: We want to assess the problem of retained metallic foreign bodies and
find the indications of their removal.
Patients and Methods: This is a prospective study of 300 patients with retained
metallic foreign bodies presented to the out-patient department of Alhindiya general
hospital between July 2006 and July 2008 with different complains.
Results: Three hundred patients were included in this study, 264 patients(82%) were
males and 36 patients (18%)were females, 270 patients about (90%) presented within
the first week after injury, 243 patients(81%) have foreign bodies in the upper and
lower limbs, 45 patients(15%) in the trunk and 12 patients(4%) in the head & neck.
Conclusion: Palpable foreign body can be removed safely and successfully in most of
the cases while deep foreign body should not be removed unless there are indications.
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