Basic Structure of Skin
In the case of Kevin Ware, the bone broke through the skin tissue, tearing through all layers and because it was a compound fracture the wound was exposed to dirt and bacteria which is extremely dangerous. The bacteria would enter the bloodstream causing an infection and or illness. However, this type of fracture is not common in sports settings. According to Dr. Robert Glatter, an emergency physician at Lenox Hill Hospital,
"Ware must of had to have a pre existing stress fracture or some inherited weakness in the bones because a compound fracture like that is usually seen in car accidents or high falls where the force is enough to shatter the bone and break through the skin."
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How the Injury Affected Skin and Tissues:
The injury is a compound fracture in the tibia. The lower leg is made up of two bones: the tibia and fibula. If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture. Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments. This is a fracture in which broken bone fragments lacerate or tear soft tissue and protrude through an open wound in the skin (the open wound leads to the fracture site).