Publication:

Outcome of management of gunshot injury following the July revolution in Bangladesh by the Ilizarov method

Background Gunshot injuries (GSIs) are a major contributor to the global burden of injury, frequently resulting in severe fractures, extensive soft tissue damage and long-term disability, particularly among young adult males in both civilian and military settings. The purpose of this study is to evaluate the clinical and functional outcomes of patients with extremity gunshot injuries sustained during the July revolution in Bangladesh who were managed using the Ilizarov method.

Methods This prospective observational study at the Department of Orthopedics, National institute of traumatology and orthopaedic rehabilitation (NITOR), Dhaka, Bangladesh, from July 2024 to December 2025 included 30 patients with gunshot-induced extremity fractures from the July revolution, all managed with the Ilizarov external fixator and followed for at least 18 months. Outcomes assessed were fracture union, anatomical and functional results (ASAMI criteria), and treatment-related complications, analyzed using descriptive statistics.

Results In 30 patients (mean age 25.0±10.4 years, 96.7% male), 66.7% had high-velocity injuries and 70.0% were potentially lethal. Tibial fractures predominated (60.0%) with 86.7% open fractures. Primary fixation was done in 73.3%. At 18 months, 90.0% achieved union, 70.0% had minimal deformity, 60.0% had no shortening, and 80.0% had satisfactory or good functional outcomes, with manageable complications.

Conclusions The Ilizarov method provides effective anatomical restoration and functional recovery in complex gunshot injuries sustained during the July revolution in Bangladesh.