Circumstances of Injury:

Anatolii, along with his comrades, was advancing to a combat position when their group fell into an ambush. A fierce firefight erupted, and the enemy initiated a mortar barrage. During the chaos, Anatolii sustained injuries and suffered a concussion.

Diagnosis:

• Isolated gunshot and shrapnel wound to the right knee joint (dated 13.07.24).
• Foreign body in the right knee joint.

Key Details:

1. Gunshot and shrapnel wound:
   • Damage to the soft tissues and joint structures of the right knee caused by shrapnel impact.
   • Likely symptoms include pain, swelling, restricted movement, and inflammation.
2. Foreign body:
   • A fragment (e.g., shrapnel) lodged within the knee joint.
   • Risks include infection (septic arthritis) and mechanical obstruction, causing pain and limiting joint mobility.

Clinical Solution:

Arthroscopy with Foreign Body Removal.

Treatment Plan:

1. Arthroscopy:
   • A minimally invasive surgical procedure performed through small incisions.
   • A camera (arthroscope) is inserted into the joint, providing a clear view of the internal structures.
2. Foreign Body Removal:
   • Specialized tools are used to extract the foreign object (shrapnel) under direct visualization.
   • Additional inspection of cartilage, menisci, and ligaments is conducted to identify and address any other damage.