Circumstances of Injury:

On May 14, 2024, during a combat mission to evacuate civilians, a grenade was dropped, resulting in an explosion. Andrii sustained a through-and-through wound to his left leg. Despite the danger, the situation was stabilized, and he was evacuated to a medical facility for urgent care.

Diagnosis:

Blast Injury (05/14/2024):

• Multiple Gunshot and Shrapnel Wounds:
  • Injuries to the proximal shoulder, both forearms, thighs, and the left shin, with extensive damage to soft tissues and likely vascular and nerve involvement.
• Closed Oblique Fracture of the Left Femur:
  • A diagonally oriented fracture with displaced bone fragments, requiring surgical realignment and fixation.
• Post-Traumatic Neuropathy of the Peroneal Nerves:
  • Damage to the peroneal nerves resulting from the injury.
  • Partial Paralysis of the Left Foot: Reduced mobility, making walking and foot control difficult.

Clinical Solution:

Metal Osteosynthesis (MOS) of the Femur:

This surgical procedure aims to restore the anatomical integrity of the femur using specialized metal hardware. Options include:

1. Intramedullary Rods or Screws: Inserted into the marrow canal for internal stabilization.
2. Plates and Screws: Used to align and hold bone fragments in place.
3. Benefits of MOS:
   • Stable Fixation: Ensures proper alignment of bone fragments to promote healing.
   • Enhanced Recovery: Facilitates early mobilization and weight-bearing to minimize complications.
   • Durability: Provides long-term structural support.