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Etiology: Direct blows Crushing force

(motor vehicular accident)

Left Tibia and Fibula Fracture (break in the continuity of the bone) Disruption of muscle and blood vessels attached to the ends of the bone

soft tissue damage

bleeding

hematoma forms in medullary canal

bone tissue surrounding the fractured sites

inflammation

signs and symptoms: Pain

Swelling Erythema Warmth Loss of function (immobility)

Possible Complications: Early: Shock, fat embolism, compartment syndrome, DIC, infection, venous thromboemboli

Delayed: Delayed in union, malunion, nonunion, reaction to internal fixation devices Pathophysiology of Open Fracture

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