In an experiment in low-mountain conditions, the features of changes in the structure of bone tissue in the zone of a gunshot fracture of the shank diaphysis were studied. It was revealed that when using the compression-distraction method according to G.A. Ilizarov, a pronounced angiogenic effect is observed, an improvement in reparative processes. The results obtained confirm the need to use the method of extrafocal compressiondistraction osteosynthesis to accelerate the healing of gunshot fractures of tubular bones.