Page 29 - JSOM Spring 2026

Management plan Initial amputation, revision surgery for stump reconstruction, Ilizarov technique for bone lengthening, prosthetic rehabilitation, physiotherapy, and return to Amputation, initial wound care, and diagnostic laparotomy followed by medical treatment, wheelchair mobility, and muscle stimulation, progressing through gradual prosthetic loading to full use after 7 months, with successful long-term rehabilitation and return to work as a warehous

work as a trainer mobility and return to work as a plumber LCP with bone autoplasty (10 patients) anesthesia Postoperative observation period: 18 months intervention (51% underwent surgery) bone restoration fixation, or vascular-pedicle fibula graft Stage III: Rehabilitation in Ukraine and abroad postoperative pain assessment and follow-up One patient; 17 surgeries Increase in number of patients by 55.07%

Type of weapon Explosive device (from a drone Not explicitly mentioned, but implied to be explosives GSW and explosive devices High-energy explosive and Firearms and explosive devices 24 February 2022 to Single case observation, patient was hospitalized for 3 days 28 months of follow-up Not explicitly stated, but the amputation surgeries were performed up to 2, 5, and over 5 years ago, with follow-up evaluations at 12 months post- 36 mo

Mine Anti-personnel mine strike) projectile weapons (mines, etc.) 24 February 2023 revision surgery 2021–2023

Mechanism of injury Mine explosion Anti-personnel mine explosion Drone strike explosion Blast trauma Explosion-related and ballistic injuries High-energy weapons (e.g., multiple launch rocket systems [Grad, Uragan, Smerch], artillery, mortar shelling, cruise missiles, combat drones GSW and mine-explosive injuries Treated in a center (Germany) for patients from Ukraine Surgical department of a Level II accredited hospital, Ukraine Scientific a

Characteristics of the injuries Multiple shrapnel wounds from a mine explosion; soft-tissue damage to the right limb; left lower limb amputation; later complications with stump requiring surgical revision Bilateral stress fractures of tibial stumps; complete detachment of the right extremity; incomplete detachment of the left extremity; closed abdominal trauma; chronic compartment syndrome of both Explosive injury to left tibia; severe bone fracture requ

TABLE 2 Injury Characteristics and the Management Plan

First author, year Bezsmertnyi, 2025 Bezsmertnyi, 2024 (a) tibial stumps Bezsmertnyi, 2024 (b) Bondarenko, 2024 Guryev, 2024 Lurin, 2024 Netliukh, 2024 same issue Prangenberg, 2024 Case report Riga, 2024 Case report Shevchuk, 2024 (a) Shevchuk, 2024 (b) Case report Shevchuk, 2024 (c) Case report Smits, 2024 Trutyak, 2024 Yarmoliuk, 2024

Orthopedic Injuries and Treatment in the Russo-Ukrainian War | 27