Injury Circumstances:

On April 24, 2024, Yevhen and his team held their position for more than a day, repelling an intense enemy assault. During the battle, several comrades were wounded and could not be left behind. Risking his own life, Yevhen and his teammates began evacuating the injured, who urgently needed medical help. For over 600 meters, they carried the wounded under heavy enemy fire.

While evacuating, the enemy launched mortars and artillery strikes. Shrapnel struck Yevhen’s arm, but he remained conscious. Applying a tourniquet to stop the bleeding, Yevhen continued moving toward the evacuation line, enduring relentless shelling and risking his life to save others.

Diagnosis:

• Gunshot-explosive soft tissue injury with fractures of the middle third of the left forearm and the upper third of the humerus.
• Current stage of treatment: External Fixation Device (EFD).Details of the Injuries:
  1. Gunshot-explosive soft tissue injury:
     • Open trauma caused by shrapnel or a gunshot, damaging soft tissues.
     • High risk of infection due to the open wound and soft tissue disruption.
  2. Fracture of the middle third of the left forearm:
     • Break in one or both forearm bones (radius and ulna).
     • May lead to impaired rotational movement of the forearm.
  3. Fracture of the upper third of the humerus:
     • Affects the stability and function of the shoulder joint.
     • Compromises muscular activity and arm mobility.
  4. External Fixation Device (EFD):
     • Temporarily stabilizes the fractures.
     • Allows ongoing treatment of soft tissue wounds and monitoring for infection.

Clinical Solution:

1. Reduction of the radial bone fracture:
   • Restoring the proper anatomical alignment of the bone fragments.
   • Can be achieved through closed (non-surgical) or open (surgical) methods.
   • Ensures proper healing and functional recovery of the forearm.
2. Open Reduction and Internal Fixation (ORIF) of the humerus using a plate:
   • A surgical procedure to stabilize the humerus fracture.
   • Metal plates and screws are used to hold bone fragments securely in place.
   • Promotes stability, proper alignment, and functional recovery of the shoulder and arm.