Circumstances of Injury:

On May 16, 2024, near the village of Solovyova in the Donetsk region, Ivan was stationed on the front line when mortar fire began at 5:00 a.m. Despite heavy shelling, Ivan held his position for an hour until a shell fragment caused severe injuries to his left arm.

His comrades applied a tourniquet and bandage to stop the bleeding, but Ivan had to make his way to the evacuation point on his own. His arm was barely attached, held together by a few muscles, and he feared it could not be saved.

Diagnosis:

Gunshot and shrapnel wounds to the forearms:

• Left forearm: Severe injury caused by shrapnel or a bullet, resulting in a partial traumatic amputation of the left upper limb at the upper third of the forearm.
• Right forearm (lower third): Gunshot and shrapnel injury affecting the bones, soft tissues, blood vessels, or nerves, impairing the functionality of the limb.

Clinical Plan:

Metal Osteosynthesis (MOS) of the Radius and Ulna with Bone Grafting Using Allotransplantation:

1. Metal Osteosynthesis (MOS):
   • Surgical fixation of bone fragments using metal plates, screws, or other stabilizing devices.
   • Ensures proper anatomical alignment and stable fixation of the radius and ulna for optimal healing.
2. Bone Grafting with Allotransplantation:
   • Replacement of missing bone tissue with a donor bone graft (allotransplant).
   • Helps restore the structural integrity and volume of the injured bone.
   • Supports the natural healing process when the patient’s own bone tissue is insufficient.