Circumstances of the Injury:

Anatolii was stationed on a combat position when an intense firefight broke out. During the exchange of fire, he sustained a gunshot wound to his hand but continued to fulfill his duty under dangerous conditions. His courage and resilience deserve immense respect and support.

Diagnosis:

Blast injury and gunshot fracture of the neck of the second metacarpal bone of the right hand with fragment displacement.

This injury involves:

• A fracture in the neck of the second metacarpal bone, located near the joint responsible for finger mobility.
• Displacement of bone fragments, making natural healing difficult without intervention.

Complications:

• Impaired mobility of the hand and fingers.
• Severe pain syndrome.
• Potential damage to soft tissues, blood vessels, and nerves due to the gunshot nature of the injury.
• High risk of infection in the wound.

Clinical Plan:

Open Reduction and Metal Osteosynthesis with an LCP Mini-Plate and Screws.

1. Open Reduction:
   • A surgical procedure where the fracture site is opened, and bone fragments are manually realigned into their correct anatomical position.
2. Metal Osteosynthesis (MOS) with an LCP Mini-Plate and Screws:
   • The fractured bone fragments are secured with a Locking Compression Plate (LCP) and screws, which provide:
     • Stable Fixation: Prevents movement of the fragments during healing.
     • Accelerated Bone Healing: Ensures proper alignment for natural bone regeneration.
     • Minimized Tissue Damage: The LCP system reduces trauma to surrounding tissues, aiding quicker recovery.