Complications in Orthopaedics

You are the intern on duty and you receive patients who have been in a road traffic accident. For which of the following patients will you urgently call the orthopaedic resident on call?

For hypertrophic non-union following a fracture, the most appropriate treatment

A 25-year-old man presents to the emergency department following a motorbike accident and is found to have a closed midshaft fracture of the left tibia. Six hours later, he develops severe leg pain that is disproportionate to the injury and worsens with passive dorsiflexion of the foot. The pain is not relieved by analgesics. On examination, dorsalis pedis and posterior tibial pulses are present, but there is no sensation over the first dorsal webspace. What is the most appropriate next step in management?

A male patient sustains a road traffic accident with closed midshaft fractures of the femur and tibia. Two days later, he develops breathlessness, tachycardia, and petechial rash on the chest and conjunctiva. What is the most probable diagnosis?

A 25-year-old male presents to the emergency department following a motorbike accident. He has sustained a closed midshaft tibial fracture. Six hours later, he complains of severe pain disproportionate to the injury, which worsens with passive dorsiflexion. The pain is not relieved by analgesics. Distal pulses are palpable, but there is loss of sensation in the first web space. What is the most appropriate next step in management?