Circumstances of Injury:

On April 30, 2024, Petro was stationed at a combat position when a mortar barrage began. A shrapnel fragment struck his limb, causing significant injury. Despite his wounds, Petro remained conscious.

Diagnosis:

• Gunshot and shrapnel wound to the left gluteal region with a femoral fracture and external fixation (EF).

Key Details:

1. Gunshot wound to the left gluteal area:
   • Tissue damage caused by a high-energy projectile or shrapnel.
   • Potential compromise of soft tissues, blood vessels, or nerves in the gluteal area.
2. Femoral fracture:
   • A complex fracture likely involving displacement due to the force of the injury.
3. Use of external fixation (EF):
   • Temporary stabilization of the bone fragments to prevent further displacement.
   • Allows for wound monitoring and staged surgical interventions.

Clinical Solution:

Intramedullary Osteosynthesis Using a PFNa Long Rod for the Femur.

Treatment Plan:

1. Intramedullary Stabilization (PFNa Long Rod):
   • A specialized long locking intramedullary nail designed for complex femoral fractures.
   • Provides robust anti-rotation support and fixes both proximal and distal femur segments.
2. Advantages of PFNa Long:
   • Stability: Ensures proper alignment and fixation of bone fragments.
   • Minimal Invasiveness: Inserted through the medullary canal, reducing disruption to surrounding soft tissues.
   • Compatibility: Suitable for treating diaphyseal, proximal, and distal femoral fractures.