Abstract
This is a case report of a 57-year-old lady that sustained a fracture of her distal tibia and fibula. In close proximity to the fracture was a chronic venous ulcer. She was treated as a closed fracture with an intramedullary nail and subsequently developed an infection, requiring further surgery, a prolonged course of antibiotics and 3 months stay in hospital in an attempt to save her leg. Any soft tissue defect close to a fracture should be treated as a source of contamination and infection and should be treated accordingly to avoid significant complications.
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