Most bullets made of lead alloy

Most show signs of recovery 2-4 weeks

Surgical indications

• no improvement at 3 months

Recovery potential not related to severity of injury

• The appearance of recovery at 4 weeks

Fractures may have significant comminution

• Fractures may have significant comminution

• These fracture heal quickly if closed reduction performed with or without internal or external fixation
• Comminution acts almost like a bone graft to enhance healing, provided soft-tissue damage is not excessive

• Because of comminution fractures are usually very unstable

• Difficult to maintain length with closed methods

Fracture lines usually propagate beyond what can be seen on traditional radiographs

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