Dedushkin Vitaly S. M.D.; Keggi, Kristaps J. M.D.Techniques in Orthopaedics: October 1995 Orthopaedic Lessons from Recent Wars: Articles: PDF Only Buy Abstract Summary: The Afghan war was fought by Soviet troops uncer very difficult conditions. Evacuation from the mountains by conventional ambulances and helicopters was problematic. In the early phases of the war many of the lessons of World War II wound treatment had been forgotten. Eventually. the principles of extremity immobilization, minimal surgical care of simple wounds, and surgical debridement of major wounds with delayed closure were relearncd. Such procedures as reconstructive amputations and intramedullary fixation of fractures were contraindicated. Early extremity immobilization was best performed by plastic casts. External fixation with the Ilizarov apparatus, even though extremely valuable in selected cases, was done only by well-trained specialists in larger hospitals. © Williams & Wilkins 1995. All Rights Reserved.