Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of Russia2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics39110.21823/2311-2905-2011-0-1-29-34MECHANOGENESIS AND CLINICAL-ANATOMICAL CHARACTERISTICS OF HAND CONTACT BLAST INJURY IN PEACE AND WAR TIMEFominN. F.fake@neicon.ruTikhilovR. M.fake@neicon.ruNishtA. Y.nachmed82@mail.ru30032011171293402112016Copyright © ,<p>Thorough research has been done on the characteristics of surgical anatomy and mechanogenesis of the explosion-related hand injuries received during military campaigns and in non-military explosion-related accidents. This research consisted of clinical, statistical and experimental-anatomical parts. 241 patient data files of the wounded during the military campaign in Afghanistan have been analysed as well as 70 patient data files of the injured in non-military explosion-related accidents. The most common, according to the patient data analysis, morphological variations of the explosion-related hand injuries were simulated during 24 in-field experiments by exploding hands of cadavers. The characteristics of the explosion-related hand injuries were analysed using radiography and precision preparation of the extremities after the in-field experiments. The correlations between the hand damage levels, the types of explosive materials, their orientation and position in hand during explosion have been identified.</p>handblast injurymechanogenesissurgical anatomyкистьвзрывные ранениямеханогенезхирургическая анатомия[1. Взрывная травма / А.И. Грицанов, М. Мусса, И.П. Миннулин, М. Рахман – Кабул : изд-во МО РА, 1987. – 165 c.][2. Взрывные поражения / Э.А. Нечаев [и др.]. – СПб. : Фолиант, 2002. – 656 с. : ил.][3. Косачев, И.Д. Взрывные поражения / И.Д. Косачев // Опыт медицинского обеспечения войск в Афганистане в 1979–1989 гг. – М., 2002.][4. Николенко, В.К. Огнестрельные ранения кисти / В.К. Николенко, П.Г. Брюсов, В.С. Дедушкин. – М. : Медицина,1999. – 231с.][5. Фомин, Н.Ф. Механогенез повреждений органов и тканей при минно-взрывных отрывах нижних конечностей / Н.Ф. Фомин // Воен.-мед. журн. – 1994. – № 5. – С. 12–17.]