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Surgery
A 65-year-old man is brought to the hospital after being hit by a car. His blood pressure is 150/90 mm Hg, and pulse is 120 bpm. There is deformity just below the left knee and no distal pulses palpable in that leg. Plain films show proximal tibia and fibula fractures. What is the next step in management?
Operative intervention to restore flow with an arterial shunt
Angiography
Doppler ultrasound
Operative reduction and internal fixation
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