Circumstances of Injury:

According to Oleksandr: “I was sitting in the bunker when I heard a whistle. Next thing I knew, I was lying down, and my arm was pinned. I pulled it out from under me, and it was gone. The guys applied a tourniquet and carried me on foot for 2 kilometers to the evacuation point. From there, I was taken to Lyman, then to Dnipro, and finally to Khmelnytskyi.”

Diagnosis:

Gunshot Fracture of the Right Femur

Gunshot Fracture Characteristics:

• Severe injury caused by a bullet or shrapnel, resulting in significant damage to the structure of the femoral bone.
• Associated with:
  • Soft tissue injuries: Often extensive, increasing the complexity of treatment.
  • High risk of infection: Due to the open nature of the wound.
  • Challenging healing process: Due to potential contamination and bone destruction.

Clinical Decision:

Intramedullary Nail Fixation (IMN)

Intramedullary Nail Fixation:

• A surgical procedure to stabilize the femoral fracture by inserting a metal rod (nail) into the bone marrow canal of the femur.
• Key benefits:
  • Provides reliable stabilization of the bone fragments.
  • Facilitates proper alignment and healing of the fracture.
  • Preserves the natural anatomical axis of the femur.
  • Minimally invasive compared to other fixation methods, which helps in reducing recovery time and risk of complications.

This method is effective in managing complex femoral fractures, especially those caused by gunshot wounds, ensuring structural support and promoting optimal recovery.