Circumstances of Injury:

During the evacuation of a disabled tank, Valeriy and his unit came under attack from an FPV drone. The drone’s impact caused severe injuries, damaging both lower limbs and his left shoulder.

In the immediate aftermath of the attack, Valeriy’s comrades quickly came to his aid. They applied tourniquets to stop the bleeding and rapidly evacuated him to medical personnel.

Diagnosis:

• Gunshot and shrapnel injuries to the left shoulder and elbow joints with a comminuted fracture of the upper third of the left humerus.
• Gunshot wound to the right lower leg with a fracture of the mid-third of the tibial diaphysis and associated bone loss.

Left Upper Limb (Shoulder and Elbow):

• Severe bone damage in the upper third of the humerus compromises the stability and mobility of the shoulder and elbow joints.
• The comminuted nature of the fracture makes bone healing complex and challenging.

Right Lower Limb (Shin):

• The tibial fracture is compounded by a bone defect, signifying loss of bone material, which complicates the healing process and significantly impairs the weight-bearing ability of the leg.

Clinical Solution:

1. Open Reduction and Internal Fixation (ORIF) of the humerus with bioactive glass:

• Surgical realignment of the humeral bone fragments to restore proper positioning.
• Stabilization with metal hardware (plates and screws) for secure fixation.
• Bone defect filled with bioactive glass, a cutting-edge material that stimulates bone regeneration while providing structural support.

2. Biologically Optimized Osteosynthesis (BIO) of the tibia with bioactive glass:

• Stabilization of the tibial fracture using a minimally invasive technique to preserve surrounding soft tissue integrity.
• Bone defect filled with bioactive glass, promoting natural bone growth and maintaining stability at the fracture site.