Circumstances of Injury:

During a combat mission defending his homeland, Yuriy came under attack from an SPG-9 recoilless anti-tank grenade launcher. The explosion inflicted a severe injury that now requires extensive medical treatment and rehabilitation.

Diagnosis:

• Gunshot Fragmented Fracture of the Upper Third of the Right Humerus:
  • The bone has been shattered into multiple fragments due to a gunshot injury.
  • This type of fracture significantly complicates the healing process.
• Displacement of Bone Fragments:
  • The bone fragments are displaced from their normal anatomical position.
  • This displacement can lead to mechanical instability, impaired limb function, and potential damage to nearby nerves or blood vessels.
• External Fixation Device (AZF):
  • The fracture is temporarily stabilized using an external fixation apparatus.
  • This device minimizes further damage and allows for better preparation for definitive treatment.

Clinical Solution:

Biologically Optimized Osteosynthesis (BIOS) of the Right Humeral Fracture

1. What is BIOS?
   • A surgical technique designed to achieve optimal fracture stability while minimizing additional trauma to surrounding tissues.
   • BIOS promotes natural healing by preserving blood supply to the bone and surrounding tissues.
2. Purpose of BIOS:
   • Stabilization of the fractured humerus to ensure proper alignment and promote healing.
   • Restoration of limb function while reducing complications.
3. Steps Involved in Treatment:
   • Preparation Phase: Removal of the external fixation device once the wound condition and inflammation have stabilized.
   • Osteosynthesis Surgery: Use of specialized plates, screws, or rods to stabilize the fractured humerus.
   • Post-Surgical Recovery: Comprehensive rehabilitation to restore strength, mobility, and full function of the arm.
4. Expected Outcomes:
   • Improved healing and functional recovery.
   • Reduction in the risk of complications such as malunion or infection.