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Vitalii, 37 years old, Kherson region

wounded in Donetsk airport (the tibia defect in the bottom third up to 8 cm)

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Vitalii, 37 years old, Kherson region

wounded in Donetsk airport (the tibia defect in the bottom third up to 8 cm)

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Wounded

Vitalii, 37 years old, fighter of 93rd SMB, wounded in Donetsk airport

Injury20141113_095034

The consequences of combat fragmentation wounds of both legs and right foot.

Right leg: the tibia defect in the bottom third up to 8 cm., defect of the talus, navicular bone and two metatarsal bone of the right foot, fixed by rod type device, right fibula defect for up to 12 cm, fixed by rod type device.

Left leg: tangential defect of the tibia in the middle third for up to 8 cm. with varus and rotary deformity.

There is no high efficiency treatment of such defects using traditional methods, the case can cause disability through shortening of the limbs, or 1.2-3 years of longtime extension according to Ilizarov, which can have in such case very low effectiveness.

The cost of treatment

Reconstructive and restorative treatment of tibia using cellular technology. Treatment will consist of three phases, each of which includes three operations..

Cost of treatment: 712 281,5 UAH.
Medical center discount: 53,15%
Special price:  403 208 UAH.

Brief description of the treatment and its cost

Diagnostics and inspection: 4055 hrv

1 phase of treatment: 

  • 1 surgery on both shins (wound inspection,  plastic granulating wounds,  PCHKO tibia, fibula fragment intake and bone marrow): 39 990 hrv
  • 2 surgeries on both shins (apparatus shin-foot, custom media manufacturing, preparing of cellular material, biotech costs – 200 mln. cells, medicament supply, hospital, examination): 257 586 UAH

2 phase of treatment: 

  • Treatment of one leg (the introduction of cell-tissue material as a block to the right leg, plate osteosynthesis of diaphyseal tibia bone by 1  plate): 41 240 UAH 
  • Treatment of the second leg (the introduction of cell-tissue material as a block in the left leg, plate osteosynthesis of diaphyseal tibia bone by 1 plate, medicament supply, hospital, examination): 60 337 UAH  

Additional operation – dismounting of the apparatus from the lower legs 25 276 UAH.
New cost of treatment: 428 484 UAH.

More about wounded

Vitalii – fighter of legendary 93th SMB, to which he came together with his swore brothers from volunteer battalion “Donbas”.

17th January this year Vitalii’s division rescued 126 fighters – for this purpose they made corridor and valiantly kept it from mortar barrage. However, one of the mines exploded near Vitalii and caused him many injuries – he lost a lot of blood, and the body was injured by shrapnel. First aid was provided by «Pravyi sector», and then unconscious Vitalii was transported to Selidovo. Main part of treatment he underwent in Dnipropetrovsk hospital named after Mechnikov. Here, due to purulent necrotic process, hero underwent 6 surgeries, there was even the threat of amputation. Later he was sent to Kyiv Central Military Hospital.

Now Vitalii is threatening disability and shortening of extremities to 10 сm, that, except of feet dysfunction, will have another very bad result for soldier: the center of gravity will shift his body and can result in serious disease of the spine – and this is his weak point, because Vitalii is suffering from herniated disk. In order to save hero from, such problems, volunteers from “People’s Project” advised to address for help to “Biotech-rehabilitation of wounded people”. Here doctors promise to do everything possible, using cellular technology, for maximum return of Vitalii’s health.

A soldier grew up in Siberia – in Bratsk Yakut region where he lived with his family till 1992. It was there where he became interested in such kind of sport as biathlon. He took part in regional competitions and even got a sports category.

Аfter Russia Vitalii’s family settled at mother’s home – Kherson region, Ciurupinsk district. Here in peacetime, he engaged in agriculture – grow vegetables and fruits, also earned repairing cars. This is one of his favorite occupations, and he also wants to open his own blacksmith!

Big family is waiting for hero at home: 13 years old daughter, 7 years old son and beloved wife, who soon gives to Vitalii another baby!

Postoperative care

30.11.2015

Postoperative care in the medical centre

Basic operation on the left leg

21.11.2015

 Vitalii , was discharged for home recovery after the main treatment stage of feet fracture with bone tissue defect. On November, 21st this  year  the replacement of defect middle third of the left cnemis using blocks and 3D-gel with chips of osteoplastic material and autologous stem cells.

Examination

20.11.2015

Examination

The first X-ray examination

01.10.2015

In two months after the basic operation performed on  Vitalii’s  right leg formation of new bone tissue and union of bone block containing autologous stem cells with the host bone can be observed. These results can be seen at X-ray picture took on October 1, of the current  year .

Postoperative care

03.08.2015

Postoperative care in the medical centre

Basic operation on the right leg

30.07.2015

After appropriate preparation on July 30, 2015 basic operation on  Vitalii’s  right lower leg was performed. It was substitution of 8-cm defect of the tibia by the bone block which is made as osteoplastic material with autologous stem cells following which the soldier went for home restoration.

Examination

28.07.2015

Examination prior basic treatment stage

Postoperative follow-up and care

06.06.2015

Postoperative follow-up and care

3rd surgery within the framework of the first stage of treatment

05.06.2015

Device remounting on the right shin, resection of the navicular bone fragment and partially cube-shaped wedge and foot bones

2nd surgery within the framework of the first stage of treatment

01.06.2015

Plastic repair of rumen defect of left leg soft tissue by advanced flap and preparation of recipient bed.

1nd surgery within the framework of the first stage of treatment

27.05.2015

Device remounting on the left shin

Examination

26.05.2015

Examination

Chronology of treatment

Restore the function of the left- tibiotarsus joint

February of 2017

• removed the apparatus from his right leg
• tenolysis of tendon
• mounted the apparatus for putting his left foot in a physiological position
• removed the apparatus from his left foot

Control checks of the left leg

January – February of 2016

control checks and tests, observations over the results of the bone restoration

3 Stage of treatment

November of 2015

replacement of the left bone defect of the left shin with the use of a block with 3D-gel with the chips of osteoplastic material and autologous stem cells

Control checks of the right leg

September – December of 2015

control checks and tests, observations over the results of the bone restoration

2 Stage of treatment

July of 2015

displacement of the 8-cm defect of the right shin-bone with the use of a block of osteoplastic material with autologous with stem cells

1 Stage of treatment

May – June of 2015

• Cellular material sampling of the red bone marrow from the iliac wing and the fragment of periosteum of the calf-bone
• plastics of soft tissues of both shins

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