Designing the ideal model for assessment of wound contamination after gunshot injuries: a comparative experimental study

BMC Surgery

Nils-Claudius Gellrich¹  Martin Ruecker¹  Horst Kokemueller¹  Marcus Stoetzer¹  Majeed Rana¹  Constantin von See¹ 

[1]Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany

关键词: Gelatin;    Projectile;    Gunshot;    Wound infection;    Forensic science;   

Others  :  1123392
DOI  :  10.1186/1471-2482-12-6

 received in 2011-10-30, accepted in 2012-04-10,  发布年份 2012

【 摘 要 】

Background

Modern high-velocity projectiles produce temporary cavities and can thus cause extensive tissue destruction along the bullet path. It is still unclear whether gelatin blocks, which are used as a well-accepted tissue simulant, allow the effects of projectiles to be adequately investigated and how these effects are influenced by caliber size.

Method

Barium titanate particles were distributed throughout a test chamber for an assessment of wound contamination. We fired .22-caliber Magnum bullets first into gelatin blocks and then into porcine hind limbs placed behind the chamber. Two other types of bullets (.222-caliber bullets and 6.5 × 57 mm cartridges) were then shot into porcine hind limbs. Permanent and temporary wound cavities as well as the spatial distribution of barium titanate particles in relation to the bullet path were evaluated radiologically.

Results

A comparison of the gelatin blocks and hind limbs showed significant differences (p < 0.05) in the mean results for all parameters. There were significant differences between the bullets of different calibers in the depth to which barium titanate particles penetrated the porcine hind limbs. Almost no particles, however, were found at a penetration depth of 10 cm or more. By contrast, gas cavities were detected along the entire bullet path.

Conclusion

Gelatin is only of limited value for evaluating the path of high-velocity projectiles and the contamination of wounds by exogenous particles. There is a direct relationship between the presence of gas cavities in the tissue along the bullet path and caliber size. These cavities, however, are only mildly contaminated by exogenous particles.

【 授权许可】

   
2012 von See et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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