Circumstances of the Injury:

On May 29, 2024, while carrying out a combat mission, Oleksandr was on duty when the enemy dropped a munition. The explosion caused severe injuries: his arm was shattered in multiple places by shrapnel. In a state of shock, Oleksandr initially didn’t feel the pain and tried to apply a tourniquet himself, but the injuries were too severe. His comrades quickly dragged him into a shelter, administered first aid, and managed to stop the bleeding.

Diagnosis:

Gunshot and explosive injuries to the left upper limb, including:

• Gunshot fracture of the upper third of the humerus (shoulder bone).
• Gunshot fractures of the lower third of both the radius and ulna (forearm bones).

Key Details of the Injuries:

1. Humerus Fracture (Upper Third):
   • Complete disruption of the shoulder bone’s integrity.
   • Possible complications involving nearby nerves and blood vessels in the shoulder area.
2. Forearm Fractures (Lower Third):
   • Both the radius and ulna, essential for forearm mobility and stability, are severely damaged.
   • Fragment displacement could hinder hand and arm function significantly.

Clinical Plan:

Metal Osteosynthesis (MOS) of the Humerus (PHILOS Long) and Forearm Bones:

1. MOS of the Humerus:
   • A specialized PHILOS Long Plate will be used to stabilize the fracture in the upper third of the humerus.
   • This system ensures:
     • Strong and precise fixation to maintain anatomical alignment.
     • Accelerated healing while minimizing complications.
2. MOS of the Radius and Ulna:
   • The fractures in both forearm bones will be secured with plates and screws.
   • This procedure will restore the structural integrity of the radius and ulna, enabling:
     • Normal wrist and forearm movement.
     • Improved stability and function of the entire limb.