Abstract
The article discusses the classification of highly energetic injuries of the lower extremities, their role and determining importance in choosing the scope of examination, preoperative treatment and the choice of a treatment method, proposed a new classification of these injuries. Based on the study of the clinical experience of surgical treatment of 239 patients with complex segmental and complex irregular diaphysial fractures of tibia, the high effectiveness of this classification in determining the algorithm of pre- and postoperative management, surgical treatment of patients depending on the degree of bone tissue damage, the size and nature of wounds in open fractures, the degree of soft tissue damage in closed fractures is shown.
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