PMC5290075_01
(a) Plain lateral view radiograph; (b) plain anteroposterior radiography; (c) lateral view 3D reconstruction CT scan; (d) anteroposterior 3D reconstruction CT scan.
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The images disclosed isolated leg injuries, with comminuted fractures of the proximal third of the tibia and fibula, which were aligned, stabilized, and maintained by a transarticular external fixator (Fig. 1).
Decompressive fasciotomy.
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The fasciotomy was not directly sutured, and the incision site was protected with occlusive dressings (Fig. 2).
Arteriography disclosing vascular injury.
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(a) Zero-hour elastic suture; (b) 48 h of elastic suture; (c) skin aspect after removal of the elastic suture kept for 7 days; (d) 0-h secondary suture after removal of elastic suture.
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After 7 days, an overall approximation of the wound edges was observed; when the elastic wire and the metal clips were removed, permanent suture was made with nylon 2-0 thread (Fig. 4A-D).
Wound aspect 25 days after elastic suture.
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