Dr. W. Mnaymneh
A 54-year-old woman was brought to the emergency ward of the Massachusetts General Hospital 15 minutes after having been struck by an automobile. She had sustained an injury confined to the right lower extremity and had not lost consciousness. Her general health was good. She had had a hysterectomy at the age of 28 for reasons unknown. Examination of the right lower extremity showed an open fracture of the right tibia, with circular skin and subcutaneous tissue loss approximately 2 inches in diameter along the medial surface of the tibia lying directly over the fracture site (Fig. 1). There was also marked swelling in the lateral portion of the right knee. Maximum tenderness in this area was over the lateral joint line and the head of the fibula. Circulation and neurologic function were intact in this extremity.A dry sterile dressing was placed over the open wound.
Aufranc OE. Tibia and Fibula. JAMA. 1961;175(4):311–315. doi:10.1001/jama.1961.63040040010009
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