Closed Midshaft Fracture Of in Surgery — 40yo Man | Orthopedics | SMLE Q#2566
SMLE Question #2566
Surgery
Orthopedics
Objective: OBJ-316
Last updated: February 2026
A 40-year-old man presents to the emergency department after a high-speed motor vehicle collision with a closed midshaft fracture of the right tibia. He reports severe, progressively worsening leg pain out of proportion to the injury. The leg is tense and swollen, and passive extension of the toes causes marked pain. Sensation is decreased over the dorsum of the foot. Distal pulses are palpable. What is the most appropriate next step in management?
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