Variants and pathomorphological characteristics of open fractures of long tubular bones of peacetime are extremely diverse. In some cases, soft tissue injuries are only a small point wound caused by a bone fragment, in others, the ends of one or two bone fragments, having perforated the skin, protrude and gape in the skin wound, lying on its surface; fractures with more extensive damage to the bones and soft tissues of the limb are observed and, what should be especially emphasized, with significant contamination of tissues in the wound; finally, there are particularly severe types of open fractures, when there is extensive bone crushing, deep irreversible destruction of soft tissues, and sometimes complete separation of limbs.