25th May 2025

A 64-year-old immigrant presented to the emergency department with a fracture.

A 64-year-old immigrant presented to the emergency department with a fracture. In a traffic accident, he fell off his motorbike and landed in a ditch. When the paramedics arrived, he had an open tibial and fibular compound fracture covered in mud. They cleaned the wound and provided basic wound care. 

The patient is unsure if he has been vaccinated as an orphan and does not remember much about his childhood.  

Which of the following treatment options is recommended?

Select the SINGLE most appropriate option from the list below. Select ONE option only.