Abstract
Following treatment of fractures during WWII with help of methods of plaster immobilization, good anatomical and functional results were achieved only in 16.0-36.6 % of the wounded, and stable contractures of large joints were observed in 56.6 %. The only alternative to conservative methods for treating gunshot fractures in subsequent years consisted in extrafocal osteosynthesis, but treatment with external fixing devices resulted in stable fractures in 72.6 % of the wounded. The article analyses some experience of using primary external, secondary internal and delayed internal osteosynthesis in gunshot fractures, where delayed internal osteosynthesis made it possible to improve functional results and reduce the number of complications. The problem of choosing a method for gunshot fracture stabilization is elucidated on the basis of clinical experience.
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