Abstract
According to the United Nations, around 8,400 people have been injured and over 5,800
killed on the Ukrainian side in the Ukraine war, which has been going on for over
14 months. Extensive humanitarian aid operations were carried out to support Ukraine,
so that war-wounded people from Ukraine were also cared for in Germany. In a retrospective
cohort study, 10 patients were examined who were treated in the department between
February 24th 2022 and February 24th 2023, using the cloverleaf system from Ukraine.
The average duration of inpatient treatment was 53.10 days. The average ISS was 23.7.
The patients were operated on an average of 3.3 times in our institution. All patients
received consultative psychological care. All patients were initially put into protective
isolation until the results of a corona test and microbiological swabs were available.
After preliminary protective isolation, further isolation had to be carried out in
5 cases due to germs requiring
isolation. Eight patients were released to state accommodation. Three patients were
transferred back to Ukraine at their own request.
The treatment of war-injured patients from Ukraine represents a particular challenge.
It absolutely requires an interdisciplinary treatment concept that, in addition to
special trauma surgery and orthopaedic expertise, also requires plastic-reconstructive,
microbiological and, last but not least, psychological care. Due to the high rate
of infections requiring isolation, long, costly therapy with multiple revision operations
is often necessary.
Keywords
Ukraine war - refugees - soldiers - multi-resistant bacteria - blast injury
