FEATURES OF AUTOLOGOUS CANCELLOUS BONE GRAFTING IN GUNSHOT FRACTURES WITH BONE DEFECTS

Connecon of the publicaon with planned research works.The work was performed in accordance with the research plan of Naonal Pirogov Memorial Medical University, Vinnytsya and is a fragment of the research topic of the Department of Traumatology, "Improvement of methods for diagnosis, treatment and rehabilitaon of paents with injuries and diseases of the musculoskeletal system", state registraon number 0123U102765.Introducon.With the outbreak of the full-scale war in Ukraine, the number of combat-related injuries has increased sharply.Currently, the treatment of paents with gunshot wounds and bone ssue defects represents one of the most urgent and complex challenges in modern orthopaedics and traumatology.A disncve feature of modern warfare is the use of weapons that cause mulple types of injuries, including rearm wounds, explosive trauma, burns, and blast wave eects.Contemporary weapons and military tac-cs result in extremely severe physical and psychological trauma [1,2].Firearm injuries to the limbs are characterised by prolonged treatment and rehabilitaon periods due to the severity of the damage.This includes comminuted fractures with bone defects, extensive so ssue de-strucon, signicant microbial contaminaon of the wound, the presence of foreign bodies and secondary fragments, microcirculatory disturbances, and a high incidence of both early and late complicaons [2,3,4].Due to the use of modern weaponry, the majority of rearm fractures (35-41%) are comminuted, with 41.3% classied as fragmented.In over 80% of cases, gunshot fractures are complicated by bone ssue defects [3].Primary bone defects caused by high-energy projecles are