Features if using reconstructive surgery elements in the treatment of gunshot wounds of the hand and forearm at the stage of specialized medical care

Introduction. Surgical tactics and the direct choice of treatment for patients with gunshot wounds of the hand and forearm are important issues in hand surgery.

Materials and methods of research. A clinical study was conducted based on the treatment of 24 patients with gunshot wounds to the hand and forearm at the stage of providing specialized medical care. The study was conducted at the hospital stage and remote results were monitored.

Treatment results. The results of the study showed the high efficiency of using special software in the preoperative period in order to select the optimal surgical approach and further combat pain, swelling and improve microcirculation and, as a result, create favorable conditions for wound healing and reduce hospitalization.

Conclusion. The use of staged surgical treatment with elements of reconstructive surgery in choosing a method for the fastest possible cleaning of a contaminated wound and reducing the rehabilitation period. Programmed staged surgical treatment with elements of reconstruction of damaged anatomical structures made it possible to more effectively combat swelling and pain, create conditions for the fastest possible restoration of the function of the hand and upper limb as a whole, which are the main factors in the favorable course of the wound process. It was possible to reduce the average period of treatment and rehabilitation of the wounded from 5–6 to 3–4 months, which contributed to early social and labor adaptation.

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