Introduction. The article is devoted to the tactics of surgical treatment of patients with polystructural ballistic injury of upper extremities.
Alm. To improve the tactics of surgical treatment of patients with gunshot polystructural damage to the shoulder.
Materials and methods. The object of the study was 220 wounded with polystyrene gunshot wounds of the upper limbs from 2014 to 2017. Of these, cases of gunshot wounds (127 patients) were analyzed in details.
Conclusions. The key point of surgical treatment tactics is the possibility of simultaneous realization of several points: soft tissues deficiencies replacement, alternation of fracture bracing method, bones deficiencies replacement, restoration of extremity’s nerves and functions. Developed, offered and implemented tactics of surgical treatment involving individual approach based on identification of severity of trauma and a patient’s rehabilitational potential, allows to get better anatomical functional results and minimize the period of military return.