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Open comminuted fracture through the right distal femoral metadiaphysis extending to the patellofemoral joint. Vertically orientated patellar fracture. Posterior lateral tibial plateau fracture involving the posterior aspect of the intercondylar area, likely representing a PCL avulsion fracture.
Pneumolipohaemarthrosis. Right thigh and upper calf are swollen.
No gross arterial injury identified with small calibre but patent vessels and three-vessel run-off to the level of the ankle. Right common femoral, profunda femoris and popliteal arteries are of irregular calibre throughout, without intimal flap, most likely reflecting vasospasm.