Circumstances of Injury:

In May 2024, Oleksii sustained a severe injury during an assault on enemy positions. A nearby explosion severely damaged his left leg. Despite the shock, Oleksii continued his mission until he was evacuated to a hospital. Only there was the severity of his injury fully realized — fragments had shattered his left tibiotalar and ankle joints, necessitating extensive treatment and rehabilitation.

Diagnosis:

Post-Traumatic Arthrosis of the Left Tibiotalar and Ankle Joints (Grade III):

1. Post-Traumatic Arthrosis:
   • A chronic degenerative joint condition caused by prior trauma.
   • Grade III represents the most severe stage, with nearly complete cartilage destruction, significant joint space narrowing, and deformation of joint surfaces.
2. Tibiotalar and Ankle Joint Damage:
   • These joints are critical for foot mobility and weight-bearing.
   • Their severe impairment results in substantial walking difficulties and pain, even at rest.
3. Persistent Pain Syndrome:
   • Chronic and intense pain caused by joint destruction and inflammation.
   • Significantly reduces quality of life and hampers everyday activities.
4. Functional Impairment of Weight-Bearing and Walking:
   • Restricted mobility due to pain and deformity.
   • Inability to rely on the affected leg for support or normal movement.

Clinical Plan:

Arthrodesis with Resective Surgery and Intramedullary Rod Fixation:

1. Arthrodesis with Resection:
   • Surgical removal of damaged joint surfaces that no longer serve their functional purpose.
   • The procedure immobilizes the joint by allowing the bones to fuse, alleviating pain and improving stability.
2. Intramedullary Rod Fixation:
   • An intramedullary rod is used for stable fixation of the fused bones.
   • It provides a rigid structure that facilitates proper bone fusion and weight distribution.