case_images: PMC10810729_01
case_images: Displays the fractured image alongside the X-ray images taken prior to the intervention.
case_images: rjae016f1.jpg
case_images: PMC10810729_01_rjae016f1.jpg
case_images: f1
case_images: Type III C according to the Gustilo-Anderson system, with no concurrent injuries noted in the systemic assessment except for the affected limb (Fig. 1). The initial vital signs were as follows: blood pressure, 90/60 mmHg; pulse rate 160/min, respiratory rate 40/min, and body temperature, 38 C.
case_images: Shows the leg following the placement of the K-wire and prior to suturing the skin flap.
case_images: rjae016f2.jpg
case_images: PMC10810729_01_rjae016f2.jpg
case_images: f2
case_images: Initial debridement was performed in the supine position, with dislocations and fractures reduced and fixed using K-wires (Fig. 2).
case_images: Displays the leg after suturing the skin flap, along with the X-ray image following the installation of the K-wires.
case_images: rjae016f3.jpg
case_images: PMC10810729_01_rjae016f3.jpg
case_images: f3
case_images: The patellar tendon, posterior muscles, and skin flap were meticulously sutured (Fig. 3).
case_images: Shows the leg 2 months post-surgery, following the removal of wires.
case_images: rjae016f4.jpg
case_images: PMC10810729_01_rjae016f4.jpg
case_images: f4
case_images: Progressive wound healing was observed over a month, allowing partial weight-bearing ambulation at 2 months (Fig. 4).
case_images: Shows the leg after 8 months post-surgery, indicating successful completion of the recovery process.
case_images: rjae016f5.jpg
case_images: PMC10810729_01_rjae016f5.jpg
case_images: f5
case_images: Complete leg bone healing was achieved at 6 months, with removal of the flexible nail and restoration of the full range of motion and sensation (Fig. 5).