Advancement of external fixation as a foundation for innovative staged treatment of the wounded in the extremities

Abstract

The features of morphological changes in gunshot fractures of the musculoskeletal system determine a continuous search for opportunities to improve the techniques of surgical wound treatment and immobilization devices for injured limbs. At the same time, the quality of fracture fixation largely defines both the result of immediate surgical treatment and the final long-term result of the wounded person's treatment. The article provides an analysis of the scientific literature and our own experience in the development, testing, implementation and use of external fixation devices for surgical and specialized trauma care at the stages of medical evacuation. The main achievements of the world and Russian science are presented. The main directions of search for ways to improve external fixation devices based on the achievements of modern science and innovative technologies are determined.