Detailed attention to soft tissue injuries is critical to treating lower leg injuries properly. Often it is the extent of such injury, rather than the fracture itself, that determines the outcome. Wounds should be cleansed and debrided of loose tissue and foreign material. Tetanus immunization should be given, if indicated. Splinting of fractures will prevent further damage to soft tissue caused by movement of the sharp bone fragments. Carefully palpate the compartments to detect any possible compartment syndrome. If such is suspected, inform the consulting surgeon so that appropriate priorities can be set in the management of the injury. Parenteral antibiotics should be administered in open-fracture cases.
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