Modern views on the treatment of open fractures of long tubular bones

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.