Circumstances of the Injury:

During an assault maneuver, Yuliia and her comrades were deploying from a Bradley armored vehicle. During the exit, she struck the top hatch, resulting in a significant injury.

Diagnosis:

Post-traumatic injury to the anterior cruciate ligament (ACL):
The ACL is a vital structure for knee stability. Damage to this ligament leads to instability, difficulty walking, and potential secondary injuries to other parts of the knee.

Injuries to the menisci:

• Medial meniscus: Damage to the body and posterior horn causes pain and restricts movement.
• Lateral meniscus: Injury to the posterior horn reduces shock absorption and increases stress on other joint structures.

Moderate synovitis:
Inflammation of the synovial membrane with fluid accumulation in the joint, causing swelling, limited mobility, and pain.

Persistent pain syndrome:
Chronic pain that impacts quality of life, reduces physical activity, and leads to muscle weakness.

Impaired weight-bearing and gait function:
Knee instability and pain make it difficult to stand, walk, or perform daily activities.

Clinical Plan:

Arthroscopic Meniscectomy and ACL Reconstruction for the Right Knee.

1. Arthroscopic Meniscectomy:
   • A minimally invasive surgical procedure to remove the damaged portions of the medial and lateral menisci.
   • Goals:
     • Reduce pain.
     • Restore joint mobility.
     • Prevent further joint damage.
2. ACL Reconstruction:
   • Restoring the ligament’s integrity using an autograft (e.g., the patient’s tendon) or synthetic material.
   • Goals:
     • Stabilize the knee.
     • Improve weight-bearing ability.
     • Prevent progressive instability.