case_images: PMC4235070_01
case_images: A&E picture 1, a 50p coin has been laid for comparison of
  the wound size.
case_images: TOORTHJ-8-433_F1.jpg
case_images: PMC4235070_01_TOORTHJ-8-433_F1.jpg
case_images: F1
case_images: On examination there was an open fracture of the right distal tibia with a flap laceration approximately 7cm x 6cm minimally contaminated with the tibia exposed on the outside of the wound (see Figs. 1, 2).
case_images: A&E picture 2, close up view of the open wound.
case_images: TOORTHJ-8-433_F2.jpg
case_images: PMC4235070_01_TOORTHJ-8-433_F2.jpg
case_images: F2
case_images: On examination there was an open fracture of the right distal tibia with a flap laceration approximately 7cm x 6cm minimally contaminated with the tibia exposed on the outside of the wound (see Figs. 1, 2).
case_images: X-ray 1, pre-op.
case_images: TOORTHJ-8-433_F3.jpg
case_images: PMC4235070_01_TOORTHJ-8-433_F3.jpg
case_images: F3
case_images: The deformity was confirmed as a comminuted fracture to the distal tibia on X-ray (see Figs. 3,4).