This 36yrs old female patient came with H/O Road traffic accident with a Comminuted Fracture of Proximal Tibia Rt Leg with very bad soft tissue injury with blebs. There was no neurovascular deficit.

The problems to be tackled in management are.

• 1. Achieving a Stable fixation of the severely comminuted fracture.
• 2. Management of the soft tissue injury and the unhealthy skin with the blebs..

With this extensive soft tissue injury an immediate open reduction and internal fixation will be a disaster, hence the soft tissue injury was managed first, which took around a week. Then surgery was done. The wound healed uneventfully and patient is walking now without support. The pre-operative xrays, clinical pictures & Post op xrays and clinical pictures are shown.