Circumstances of Injury:

Vitalii was stationed at a combat position when a tank shelling began. Amid the chaos and explosions, shrapnel caused severe injuries to his limbs. Despite the intense pain and danger, he remained conscious, gathered his strength, and managed to reach a safe area where he was later evacuated to a hospital.

Diagnosis:

Gunshot and Shrapnel Injury of the Left Forearm with a Nonunion of the Distal Radius and Bone Defect:

1. Shrapnel Injury (VOUSP):
   • Penetrating damage caused by shrapnel fragments, resulting in significant tissue and bone destruction in the forearm.
2. Nonunion (“False Joint”) of the Radius:
   • A condition where the fractured bone fragments fail to heal and form a pseudo-joint, leading to abnormal movement and instability.
3. Bone Defect:
   • Loss of bone tissue at the fracture site, making it challenging to restore the anatomical and functional integrity of the radius.

Clinical Solution:

Bone Defect Reconstruction with Bioactive Glass (Bioglass):

1. Bioglass:
   • A bioactive material that promotes natural bone regeneration.
   • It provides a scaffold for new bone growth, integrates with the patient’s tissues, and gradually replaces itself with natural bone.
   • Offers antibacterial properties, reducing the risk of infection.
2. Surgical Procedure:
   • Debridement: Removal of necrotic tissue and preparation of the bone defect for reconstruction.
   • Bioglass Application: Shaping and placing the material to fill the bone defect.
   • Stabilization: If required, a metal fixation device (e.g., plates or screws) will be used to hold the bone fragments in place and maintain alignment during healing.