fig5

Figure 5. View of a 13-year-old male’s leg after transfer from outside hospital 10 days after ATV rollover and tibia fracture (A). The tibia was degloved and has been exposed during this time. The orthopedic service debrided the clearly nonviable tibia near the fracture site and placed a large antibiotic spacer (B). This was covered with a latissimus dorsi muscle flap and split-thickness skin graft (C). He eventually had bony union after many months of bone transport.