25M p/w open G-A III ipsilateral comminuted tibia and femur | Figure 1

OrthoBoss

Orthopedic Surgery

25M p/w open G-A III ipsilateral comminuted tibia and femur fx. Offroad rock climbing in jeep, felt unsafe so jumped out of jeep onto jagged rocks. Leg very tight, extremity otherwise NVID. No other significant injuries but hypotensive in Trauma bay, base deficit mildly elevated. How would you manage acutely and what is timing and ultimate plan for definitive fixation?

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