Circumstances of Injury:

On December 3, 2023, Oleksandr was caught in a devastating artillery attack. Shrapnel and the blast wave caused severe injuries, but his incredible resilience and support from his comrades helped him survive. Oleksandr now requires essential treatment to recover and reunite with his family.

Diagnosis:

1. Gunshot fracture of the proximal metaepiphysis of the right humerus with malunion.
   • The upper part of the humerus bone was fractured due to a gunshot.
   • Malunion indicates that the bone fragments have healed in an abnormal position, potentially leading to bone deformity and functional impairments.
2. Contracture of the right shoulder joint.
   • Limited joint mobility caused by scar tissue, swelling, pain, or improper bone healing.
   • Results in a reduced range of motion in the shoulder.

Clinical Solution:

1. Reconstructive Osteosynthesis with PHILOS Plate

• PHILOS Plate: A specialized metal plate designed for complex fractures of the humerus, ensuring stable fixation and anatomical realignment.
• This technique helps restore the normal structure and stability of the bone, facilitating proper healing.

2. Placement of Antibiotic Cement Spacer in the Shoulder Joint

• Purpose: A temporary implant infused with antibiotics to:
  • Combat localized infections by delivering antibiotics directly to the affected area.
  • Maintain the correct alignment and spacing of the joint to prevent deformity.
• Benefits: Allows controlled mobility of the joint, preventing scar tissue formation and preserving surrounding muscles.

3. Shoulder Joint Endoprosthesis

• When Infection is Cleared:
  • A permanent artificial joint is implanted to restore full functionality.
  • This step ensures the patient regains pain-free mobility and improves their quality of life.