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J Am Acad Orthop Surg, Vol 14, No 10, September 2006, S66-S70.
© 2006 the American Academy of Orthopaedic Surgeons
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Shrapnel Management

Amos Peyser, MD, Amal Khoury, MD and Meir Liebergall, MD

Dr. Peyser is Head of the Orthopedic Hospitalization Unit, Department of Orthopedic Surgery, Hadassah University Hospital, Jerusalem, Israel. Dr. Khoury is Senior Orthopedic Surgeon, Department of Orthopedic Surgery, Hadassah University Hospital. Dr. Liebergall is Chairman, Department of Orthopedic Surgery, Hadassah University Hospital.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Peyser, Dr. Khoury, and Dr. Liebergall.

With the increased incidence of terrorism worldwide, it is important for surgeons to understand the role of shrapnel injury in mass casualty events. Several diagnostic modalities are available, including plain radiography, computed tomography, ultrasound, angiography, and computerized surgical navigation based on real-time acquisition of fluoroscopic data. Shrapnel management techniques are selected based on the following chronologic phases: acute, subacute, and late.






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Copyright © 2006 by the American Academy of Orthopaedic Surgeons.