Introduction. The actuality of the problems is that the results of the treatment of the gunshot comminuted fractures depends on the chosen management at the early hospital stage, in most cases, is not satisfactory.
Aim. To improve treatment outcomes based on the formulation of principles and surgical treatment of comminuted fractures at the early hospital stage.
Materials and methods. The paper summarizes the experience of treating 24 patients with gunshot comminuted fractures of extremities at the early hospital stage. All patients were male. Seven patients had comminuted injuries of the upper extremity; seventeen — lower extremities.
Conclusion. The proposed management of reasonable radical surgical treatment at an early hospital stage, the stage interventions, the difference in approaches in the choice of the volumes of the components of surgical treatment depending on localization and other individual characteristics, WAC therapy, fasciotomy, early plasticity of defects allowed to improve the results and reduce the duration of treatment.