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A 7-year-old boy is thrown from a horse and sustains isolated injuries to the left lower leg. An image and X-ray are provided.

Paediatric open tibial fracture

1. State three points in describing the injury as shown in the image and X-ray. 3 marks

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2. State five steps in your immediate management in the emergency department. 5 marks

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3. List four complications of this injury. 4 marks

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