Current state of the problem of assessing the severity of the explosive injury of the lower extremities

The review is devoted to the problem of assessing the severity of the explosive injury of the lower extremities. In the wars of the XXI century mine explosive injury of the lower limbs accounts for up to 69% of all combat damage, which is associated with the specifics of the conduct of hostilities. Pathogenetically and clinically explosive injury is fundamentally different from the injuries of peacetime, and therefore it is not possible to use the estimated scales of severity of injuries of the lower extremities, developed on the clinical material of peacetime. Attempts to use natural modeling for this purpose, in particular, human corpses and anthropomorphic mannequins, did not help in creating a clinically acceptable scale assessing the severity of the explosive injury of the lower limb, and the development of virtual numerical models encounters great difficulties. In this situation, the clinical approach to assessing the severity of the explosive injury of the lower limb, based on the analysis of case histories and the results of dynamic monitoring of the wounded, remains real. As an example of the implementation of such an approach, the Bastian classification proposed in 2014 is considered.

explosive injury, virtual models, Bastian classification of explosive injury of the lower extremities, assessment of the severity of explosive injury, physical models