Following xray belongs to 33 years old lady who had an open fracture tibia grade III [Bone stripped of soft tissue cover] with closed fracture of fibula.
The patient was initially treated with wound debridement and external fixation with across the ankle fixator.
This xray was done after two months of application of the fixator and top two pins were found bent, a sign of imminent implant failure.
By that time, however skin wound had healed completely. Therefore, external fixator was removed and patient limb was splinted using a slab.
It was followed by internal fixation and bone grafting.
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