[Stagewise treatment in taking care of firearm wounds].

A case of stagewise treatment of open fracture caused by firearm wound of the upper arm in a 69-year-old male is presented. The accident resulted with extensive firearm wound in the middle third of the left upper arm with third degree open fracture. The hand's functional and neurocirculatory status was completely preserved. On arrival, external fixator was positioned on the left upper arm. Postoperative course was without complications, and secondary stitches were placed. After sanation of the wounds, the fracture was definitely managed by DC plate with 9 cortical screws and corticospongioplasty. After fracture sanation and completed physical treatment, a satisfying magnitude of movement in elbow and shoulder area was achieved.