{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T12:06:55Z","timestamp":1776427615676,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T00:00:00Z","timestamp":1626307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of hip arthroscopy immediately following gunshot wound (GSW) to the hip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who received hip arthroscopy for GSWs from 2006 to 2020 by 2 surgeons at a level I trauma center were identified by Current Procedural Terminology codes. Inclusion criteria were those patients who suffered a GSW to the hip, received hip arthroscopy for treatment, and had a minimum follow\u2010up of 2 months. The exclusion criteria were any patients younger than 18 years of age. Medical records were reviewed for patient demographics, surgical details, clinical outcomes, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 50 hip arthroscopy cases were identified by Current Procedural Terminology codes. Of the 50 cases identified, 8 patients met the inclusion criteria. All 8 patients were male, African\u2010American, and the mean age was 31 years (range, 19\u201054 years) with mean follow\u2010up of 14 months. Five of 8 cases were noted to have poor visualization with arthroscopy. Common reasons for poor visualization were difficult access to the bullet fragments, morbid obesity, hematoma formation, and pre\u2010existing arthritis. Of these 5 cases, 2 were converted to open procedures to retrieve the remaining bullet fragments. One patient developed abdominal compartment syndrome, most likely due to increased pulse pressure over a prolonged operative period and involvement of the acetabular fovea. Emergent exploratory laparotomy and abdominal compartment fluid release were performed, and the patient had an otherwise unremarkable hospital course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are risks with the use of arthroscopic methods to remove GSW fragments, which may be greater than elective hip arthroscopy. Certain factors, such as the surgeon\u2019s arthroscopic experience, locations of bullets fragments, visual quality, length of procedure, and concomitant acetabular fractures, must be considered before proceeding with arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.06.009","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T09:08:18Z","timestamp":1629364098000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Arthroscopy Should be Used With Caution for Gunshot Wounds to the Hip"],"prefix":"10.1002","volume":"3","author":[{"given":"Brian H.","family":"Mullis","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery"},{"name":"Indiana University School of Medicine Indianapolis Indiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Figueras","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus V.","family":"Trotter","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan P.","family":"Ertl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery"},{"name":"Indiana University School of Medicine Indianapolis Indiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.5152\/eajm.2013.29"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32232"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/2006-8808.110260"},{"key":"e_1_2_2_5_2","first-page":"13","article-title":"Treatment of the bullet, traversing femoral neck, lodged in hip joint: Initial arthroscopic removal and subsequent cartilage repair","volume":"6","author":"\u00c7atma M.F.","year":"2016","journal-title":"J\u00a0Orthop Case 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}