Management of Gunshot Injury to Radius with Fibular Strut Graft: A Case Report

Dr. M. Madhusudhan Reddy, Dr. K. Prasad Reddy, Dr. U. Pravin Anand

Abstract: Gunshot injuries to the radius present unique challenges in orthopaedic management, often resulting in significant bone loss and instability. We present a case report of a patient who sustained a gunshot injury to the radius and underwent successful reconstruction using a fibular strut graft. An 18 - year - old male presented with a comminuted fracture of the radius following a gunshot injury. The fracture was associated with severe communition of fragments and instability. Surgical intervention was performed in two stages with initial wound debridement and external fixation and a definitive procedure by removal of avascular bone and utilizing a fibular strut graft harvested from the ipsilateral leg. The graft was fashioned to restore the bony architecture of the radius and provide stability. Postoperative recovery was uneventful, and the patient regained functional use of the affected limb. This case highlights the effectiveness of fibular strut grafts in the management of complex radial injuries, offering a viable solution for reconstruction and restoration of limb function.

Keywords: gunshot injury, radius, fibular strut graft, reconstruction, orthopaedics, case report