{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:37Z","timestamp":1787755177489,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 31-year-old woman suffered a close-range, high-energy .30-rifle gunshot wound to her right ilium and sacrum resulting in an unstable pelvic ring injury with significant internal soft-tissue damage and bone loss. Given the limited amount of literature for managing this rare clinical scenario in a civilian setting, we described our protocol used on this patient to achieve a safe and effective result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We present a civilian-inflicted high-velocity pelvic gunshot injury at close range. Although the patient had extensive pelvic bone loss and soft-tissue damage, she had excellent clinical results at 18-month follow-up after delayed posterior sacral bridge plating. Proper soft-tissue management and posterior sacral plating may yield good results for management of this type of injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00422","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T15:27:20Z","timestamp":1631892440000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of a Close-Range High-Velocity Gunshot Wound to the Pelvis with Posterior Pelvic Plating"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-994X","authenticated-orcid":false,"given":"Elliot","family":"Row","sequence":"first","affiliation":[{"name":"Baylor Scott and White Dallas (BUMC), Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2835-0371","authenticated-orcid":false,"given":"James","family":"Rizkalla","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Dallas (BUMC), Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Holderread","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Texas A&M School of Medicine, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2441-1923","authenticated-orcid":false,"given":"Justin K.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Dallas (BUMC), Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Jones","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Dallas (BUMC), Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"21","DOI":"10.5435\/00124635-200001000-00003","article-title":"Ballistics and gunshot wounds: effects on musculoskeletal tissues","volume":"8","author":"Bartlett","year":"2000","journal-title":"J Am Acad Orthop Surg."},{"issue":"10","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1097\/BOT.0b013e3181cf03ea","article-title":"Civilian gunshot wounds of the hip and pelvis","volume":"24","author":"Bartkiw","year":"2010","journal-title":"J Orthop Trauma."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.amjsurg.2006.02.009","article-title":"The use of damage-control principles for penetrating pelvic battlefield trauma","volume":"191","author":"Arthurs","year":"2006","journal-title":"Am J Surg."},{"issue":"408","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/00003086-200303000-00005","article-title":"Clinical update: gunshot wound ballistics","author":"Bartlett","year":"2003","journal-title":"Clin Orthop Relat Res."},{"key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/BOT.0b013e318158abcf","article-title":"Minimally invasive transiliac plate osteosynthesis for type C injuries of the pelvic ring: a clinical and radiological follow-up","volume":"21","author":"Dietmar Krappinger","year":"2007","journal-title":"J Orthop Trauma."},{"key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.injury.2008.06.039","article-title":"Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures","volume":"40","author":"Suzuki","year":"2009","journal-title":"Injury."},{"key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/00005373-198604000-00004","article-title":"Early open reduction and internal fixation of the disrupted pelvic ring","volume":"26","author":"Goldstein","year":"1986","journal-title":"J Trauma."},{"key":"bib10-20240805","first-page":"25","article-title":"The unstable pelvic fracture. Operative treatment","volume":"18","author":"Kellam","year":"1987","journal-title":"Orthop Clin North Am."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1097\/00005373-199706000-00010","article-title":"Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the MorelLavalle'e lesion","volume":"42","author":"Hak","year":"1997","journal-title":"J Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:48Z","timestamp":1787751528000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00422"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00422","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}