• It is highly likely injured Russian personnel are being returned to combat duties in Ukraine with unhealed wounds, often on crutches. Open source reporting suggests Russia’s 20th Combined Arms Army has formed assault groups made up of walking wounded and directed them into combat.
  • There is a realistic possibility Russian commanders are directing this activity to retain personnel who would otherwise become lost in the overburdened medical system. According to the Ukrainian General Staff, Russia has sustained approximately 830,000 casualties since February 2022, of which it is likely over 400,000 have required treatment in medical facilities away from the frontline.
  • The injured soldiers have likely been returned to their units after being discharged from forward medical facilities, prematurely, at the behest of their commanders. This reduces the pressure on the overburdened military medical system and increases unit’s ability to track and use wounded servicemen for operational tasks. The lack of proper medical attention in facilities away from the frontline necessitates the transfer of the administrative and medical burden back to troops’ units.
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