Circumstances of Injury:

During a combat mission, Serhiy was holding a defensive position when a sudden mortar barrage began. One of the fragments struck his right leg, causing a severe injury. The leg was fractured, and life-threatening bleeding ensued. Thanks to the quick actions of his platoon commander, a tourniquet was applied to stop the bleeding.

Without the necessary equipment on-site, the limb was immobilized using improvised materials to prevent further complications. Serhiy was evacuated to a medical post, where his treatment began.

Diagnosis:

Blast injury to the right lower limb, fracture of the tibia with fragment displacement.

As a result of the blast injury, Serhiy sustained damage to the tibia in his right leg. This includes:

• Closed or open fracture: Depending on the extent of soft tissue damage.
• Fragment displacement: Bone fragments lost their natural alignment, complicating the healing process and potentially damaging surrounding structures such as muscles, nerves, and blood vessels.

Clinical Solution:

Locked intramedullary osteosynthesis of the tibia.

Locked intramedullary osteosynthesis is a modern surgical method for treating tibial fractures. The procedure involves stabilizing the bone fragments using a metal rod inserted into the bone’s medullary canal. Locking screws are used to secure the rod in place, ensuring:

• Stable fixation of the bone fragments.
• Proper alignment and support during the healing process.
• Minimized risk of further complications or damage to surrounding tissues.