32 y/o MVA that has a type IIIB open ankle fracture with fib | Figure 1

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32 y/o MVA that has a type IIIB open ankle fracture with fibular bone loss and pantalar dislocation. He also has closed right femoral shaft fracture, left closed pilon fracture and right closed lunate dislocation. Urine drug screen positive for cocaine, amphetamines, marijuana and alcohol.

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