Severe Post-Explosive Right Foot Crush Injury and Multiple Wounds, Medical Observation, and Surgical Management: Case Study

Background: War injuries constituted a significant force underlying the development of posttraumatic tissue regeneration and healing theories and technologies. The most frequent injuries in contemporary armed conflicts are known as explosion injuries, which can be very complicated to treat when they result in several kinds of serious injuries. Crush injuries to the foot are the most serious type of fractures. Case Presentation: A 31-year-old woman, following her rescue from under the rubble, was transported to the hospital suffering from multiple shrapnel wounds, a crush injury on her right foot, and a large raw area in her thigh from a missile explosion that destroyed her home during the Gaza War in 2023. Because she was unable to get adequate care upon arrival, she was neglected for eight days without a suitable dressing or antibiotic treatment. Given the severity of her injuries and the possibility of nosocomial infection, she was transferred to another hospital due to her severe condition. Intervention: Despite medical supplies and staff scarcity, a multidisciplinary approach was adopted to achieve the best results within the shortest time. We used an innovative bedside dressing technique, applying chlorhexidine, betadine, hydrogen peroxide, and acetic acid to the dressing process. Furthermore, high-standard medical management was performed in terms of resuscitation and antibiotic therapy. Finally, multiple operations were performed, starting with massive debridement, exposed bone excision, and eventually split-thickness skin grafting. Conclusion: The compensation of surgical intervention, daily wound care, infection control, rehabilitation, and psychological support allowed her to overcome life-threatening injuries and achieve full recovery; her recovery exemplifies the importance of a multidisciplinary approach to health care, particularly in war areas.