Circumstances of Injury:

During the retreat from Vovchansk, Oleg and his comrades were caught under intense mortar fire. The force of an explosion threw him off a bridge, resulting in a severe injury — an open fracture of his leg.

Diagnosis:

Open Comminuted Fracture of Both Bones of the Right Tibia

Characteristics:

• Open Fracture:
  • The fracture is exposed through the skin, increasing the risk of:
    • Infection: Immediate and rigorous wound care is essential.
    • Damage to surrounding soft tissues, blood vessels, or nerves.
• Comminuted Fracture:
  • The bone is broken into multiple fragments, complicating the healing process.
  • May involve significant displacement of bone fragments.
• Two-Bone Fracture:
  • Both the tibia (shinbone) and fibula (calf bone) are affected.
  • This disrupts the structural stability and weight-bearing function of the limb.

Clinical Decision:

Open Reduction and Internal Fixation (ORIF) of the Right Tibial Bones

Procedures:

1. Open Reduction:
   • Surgical realignment of the fractured bone fragments.
   • Ensures accurate anatomical positioning to facilitate proper healing and restore function.
2. Internal Fixation (ORIF):
   • Stabilization using metal implants such as:
     • Plates and screws
     • Intramedullary nail (IMN)
   • Provides:
     • Secure fixation to hold bone fragments in place during healing.
     • Restoration of the limb’s stability and ability to bear weight.