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Emergency Manufacture: A Case Study

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Emergency Manufacture: A Case Study
A 24-year-old male presents to the trauma bay of an emergency department after being struck as a pedestrian by a car. Upon arrival, his Glasgow consciousness scale (GCS) is 15 and the patient is hemodynamically stable. Examination reveals left lower leg deformity with a 1 cm overlying skin wound. There is some fat visible in the wound, but no bone or gross contamination is identified. There is slow, but steady, dark blood oozing from the wound. Radiographs obtained in the trauma bay are shown below. Which of the following is the most accurate diagnosis?

A. Closed tibial shaft fracture
B. Grade I open tibial shaft fracture
C. Grade II open tibial shaft fracture
D. Grade III open tibial shaft fracture
E. Grade IV open tibial shaft
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