The patient Makar Bohdan Bohdanovich, born in 1976, sergeant in military unit A7377, turned to the ProBone Foundation.
During the execution of a combat mission on October 1, 2022, in the area of the city of Izyum, Kharkiv region, a mine blew up, as a result of which he received a mine-explosive wound on his left foot with a traumatic amputation of the heel area, multiple fractures of the talus and metatarsal bones.
Bohdan was treated first in a military hospital in Kharkiv, then in a hospital named after Sklifosovsky in Poltava, where he was offered to have his foot amputated. Bohdan refused amputation. In the institute named after Shalimov in Kyiv, Bohdan had a plastic defect of the soft tissues of the left area of the heel with a flap from the broadest muscle of the back.
Bohdan’s examination revealed the presence of a multifragmentary fracture of the block of the talus, which did not heal, and the presence of necrosis of more than 2/3 of the block of the talus. The transplanted skin-muscle flap has fully adapted.
Unfortunately, the presence of necrosis of the talar bone does not allow to restore the defect of the heel bone. But the joint use of Ilizarov’s technology, cellular technologies and 3D printing allows to restore the bearing capacity of the left lower limb and preserve the function of rolling the foot as much as possible. For this, staged reconstructive and restorative surgical treatment is necessary.
During the first stage, removal of the necrotic part of the talus bone, extrafocal osteosynthesis of the left leg with a Spitz-type apparatus with foot fixation, and osteotomy of the tibia and fibula will be performed. 2 weeks after this operation, Bohdan will begin to independently move the distal end of the tibia and fibula to the area of the heel bone defect (approximately 5 cm) so that the articular surface of the tibia descends to the imaginary level of the calcaneus.
The cost of the first stage of treatment is UAH 153,790 (approximately USD 4,500 or EUR).
During the second stage of treatment (after approximately 5-6 months), the external fixation device will be dismantled, a recipient bed will be formed in the area of the defect of the heel bone with the help of bone cement, and red bone marrow and a fragment of the fibula bone will be collected. Stem cells and periosteum cells will be isolated from the bone marrow and a fragment of the fibula bone, which will be multiplied to the required number. Forming the recipient bed using bone cement will allow Bohdan to start walking on his left leg and adapt the flap to the loads.
The cost of the second stage of treatment is UAH 296,465 (approximately USD 8,650 or EUR).
During the third stage of treatment (approximately 5-6 weeks after the second stage), a bed will be formed in the area of the anterior abdominal wall for further placement of the transplant there.
The cost of the third stage of treatment is UAH 60,455 (approximately USD 1,670 or EUR).
During the fourth stage of treatment (approximately 5-6 weeks after the third stage), a cell graft will be placed in the cavity of the anterior abdominal wall. While in this cavity, the cells on the carrier will continue to multiply and begin to form bone tissue.
The cost of the fourth stage of treatment is UAH 60,455 (approximately USD 1,670 or EUR).
During the fifth stage of treatment (approximately 8 weeks after the fourth stage), the graft will be removed from the cavity of the anterior abdominal wall and will be placed and fixed in the area of the heel bone defect. The feet with the shin will be fixed with a plastic bandage.
The cost of the fifth stage of treatment is UAH 121,430 (approximately USD 3,550 or EUR).
After the fifth stage, in about 2.5-3 months, the immobilization will be removed and Bohdan will begin to gradually put weight on his left foot and return to normal life.
We ask all concerned people and organizations to take part in collecting funds for the treatment of the consequences of Bohdan’s left foot combat wound. Thanks to your donations, Bohdan will be able to receive the necessary treatment and restore the supporting function of his left foot and return to a full life.
Transfer donations You can use the websites of the “ProBONE” charitable foundation marked for the treatment of Makar Bohdan Bohdanovich:
To transfer funds, you can use the links of the payment system:
https://secure.wayforpay.com/donate/probone_en
https://secure.wayforpay.com/payment/probone_en
or current accounts:
1. Currency EUR
BENEFICIARY Account number: IBAN UA283808050000000026007789021
Organization name: CO “CF “PRO BONE”
Legal address of the organization: 00060, Kyiv str. Berlinskogo M. 20, Ukraine
BANK OF BENEFICIARY: Public Joint Stock Company Raiffeisen Bank Aval, Leskova street.9, KYIV city, Ukraine
SWIFT code: AVALUAUKXXX,
CORRESPONDENT BANK: Raiffeisen Bank International AG,
SWIFT code: RZBAATWW,
Correspondent Account: 55022305
2. Currency USD
BENEFICIARY Account number: IBAN UA983808050000000026000789017
Organization name: CO “CF “PRO BONE”
Legal address of the organization: 00060, Kyiv str. Berlinskogo M. 20, Ukraine
BANK OF BENEFICIARY: Public Joint Stock Company Raiffeisen Bank Aval, Leskova street.9, KYIV city, Ukraine
SWIFT code: AVALUAUKXXX
CORRESPONDENT BANK The Bank of New York Mellon, New York, USA,
SWIFTcode: IRVTUS3N,
Correspondent Account: 890-0260-688