Reconstruction of the Elbow After Gunshot Injury with Dynamic Articulated Frame

War injuries by high velocity weapons in the upper limb can cause major functional damage and permanent loss of mobility, especially in the elbow and forearm. Immediate and appropriate management of soft tissues and stabilization of tissues and joints can prevent comprehensive loss of function. Current techniques using articulated external fixators in the elbow associated with immediate mobility and skin coverage, combined with acute shortening techniques, avoid undesirable complications and permanent sequelae. More than just the management of open fractures, the application of techniques for early mobility and joint stability are also required, along with judicious use of external fixation and immediate coverage of soft tissues.