Consistent application of physical and orthobiological methods for the treatment of huge gunshot wounds: a clinical case

   Gunshot wounds of the extremities are a pressing and severe problem in the modern world. This is due to the nature of combat operations, high-velocity wounding projectiles and the use of new types of weapons. These circumstances require the use of the entire arsenal of modern methods of treating gunshot wounds of the extremities to speed up the recovery of the victim.

   Purpose of the study: to show the possibilities of consistent use of physical and orthobiological methods in the treatment of gunshot wounds of the limb.

   Clinical case. The experience of treating a wounded man, A., 36 years old, with a gunshot shrapnel wound of the lower extremities with extensive soft tissue defects is presented. In the complex treatment of gunshot wounds, methods of physical influence (laser therapy, vacuum therapy) and the orthobiological method (fibrin glue enriched with platelets) were used.

   Conclusion. The combination of physical and orthobiological methods of local impact on gunshot wounds makes it possible to achieve cleansing and relief of inflammation sufficient for successful suturing or dermatoplasty with a split autograft; it is promising and requires further study in the complex treatment of combat wounds of the extremities.

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