Abstract:
According to the literature, gunshot extremities wounds are
most frequent among combat trauma and affect up to 62.2%
of the patients. The total rate of gunshot upper extremities
wounds is high too – near of 25.7% [1], in particular during
local military conflicts. Provision of effective medical tactics
allow to return the serviceman to service and expand the
reserve of experienced personnel in Armed Forces.
The forearm–hand area has a high functional value. It
contains a large number of mobile anatomical elements, the
complex structure of connective tissue, vascular and nervous
structures. In this regard, the treatment of damage to this area
is a significant clinical problem that requires a long and hard
work. At the same time, active surgical tactics to accelerate the
restoration of anatomical – functional integrity of the upper
extremity [1–9] is necessary, as the complexity and fragility of
the anatomical structure cause significant limitation of hand
function even due to minor, at first glance, scarring.
