Distal Tibial Shaft Fracture with Metaphyseal Extension: External Fixation
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A 13-year-old male presented to the emergency department with head trauma and right lower leg injury after being struck by a motor vehicle. Examination and imaging identified an open right, unstable, spiral distal third tibial fracture in a skeletally immature male. Surgery was indicated to irrigate the wound and to reduce and stabilize the fracture. An external fixator was applied to the right lower leg to stabilize the fracture and facilitate wound care. The fracture healed uneventfully in 3 months.