A 27-year-old man sustained an undisplaced midshaft fracture of his left tibia after his friend inadvertently backed into him in his car, with the rear bumper pinning his leg against the car behind. Following an orthopedic consult, he was put in a long leg cast and sent home, with orthopedics follow up arranged for the next day. Overnight he was re-presented to the emergency department with increased pain in his leg and paraesthesiae in his toes. The cast was removed.
Peripheral pulses were intact, but the anterior compartment of the leg, in particular, was tense and tender to palpation with pressure measurement of 60mmHg. What is the plan of treatment would you suggest? *This case is by Docplexus Editorial Team for educative purpose only.
