 Due to the comminuted nature of her tibia fracture as well as soft tissue swelling, the patient is in need of a staged surgery with the 1st stage external fixation followed by open treatment and definitive plate and screw fixation. 
Due to the comminuted nature of her tibia fracture as well as soft tissue swelling , the patient is in need of a staged surgery with the 1st stage external fixation followed by open treatment and definitive plate and screw fixation .