FIELD: medicine. SUBSTANCE: method involves performing the first stage of primary surgical treatment by excising obviously non-viable skin edges, blood- imbibited subcutaneous fat and crushed muscles. Bone crumbs only are removed using jet wound washing method with acid-containing antiseptic solutions. Neuro-vascular foot fascicle decompression is concurrently carried out by means of the first osteofibrous canal reticulotomy on the back side of foot and crus and malleolous canal in combination with subcutaneous fasciotomy of fascial osseous cases of the crus in the vicinity of wound and intermetatarsal spaces. Medical transportation immobilization is carried out by means of Ilizarov apparatus. All bone fragments are placed into maternal bed including those not coupled with surrounding tissues. Flowing washing draining and closing wound with aseptic bandage containing antibacterial ointments on water-soluble base. Wounded patients are evacuated first according to assignment into microsurgery center where the second stage of treatment is carried out. Primary repair and restoration operation and plastic surgical treatment are carried out and perosseous compression-distraction osteosynthesis is carried out outside of the lesion focus. EFFECT: retained foot as functioning organ; reduced number of invalid patients.
