Definitive Reconstructive Surgical Management of Complex Military Trauma of the Upper Right Limb at Riga East University Hospital

Activity: Talk or presentation types › Poster presentation

Description

Military or war injuries are becoming more and more relevant. This is a serious challenge in medical treatment due to the increased number of victims, limited resources, and different severity of injuries. Staged treatment has been introduced in war medicine, which begins with damage control surgery, followed by definitive surgery performed outside the war zone. Latvia actively participates in the treatment of war trauma patients. . Patient: 35 y.o. male was hospitalized during the military conflict in July 2022. As a result of an explosion, he received an injury to his right arm with extensive bone, soft tissue, and neuromuscular damage. Initially, the patient underwent damage control surgery in the war zone, debridement, the right hand was immobilized using an external fixation device, and both local flap and autodermoplasty were performed. Non-reconstructable defect of the distal end of the right humerus with damage to the elbow joint, with no possibilities of prosthodontic treatment. Radial nerve complete damage and limited flexion in the right wrist were observed.. In December 2022, the patient underwent surgical intervention at Riga East University Hospital, reconstruction in one anatomical region - debridement was performed, and an osteomyocutaneous flap was prepared - from the middle and proximal third of the right radius, it was rotated and fixed with a plate at the middle part of the humerus and the proximal part of the ulna. External fixation was applied. A Radial nerve reconstruction was performed with a nerve graft. The postoperative period was without complications. In the next stage, January 2023, autodermoplasty is performed to close the remaining tissue defect. Evaluated all possible treatment options for this type of injury – elbow joint prosthesis, a bone transplant from the fibula, or even amputation. Result of the planning, a regional osteocutaneous flap was chosen as the best form of treatment
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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