22nd June 2021

A 60-year-old man develops a painful swelling in his left leg

A 60-year-old man develops a painful swelling in his left leg immediately following internal fixation surgery for a tibial shaft fracture. He is still complaining of increasing pain despite being on patient-controlled analgesia. Completely splitting the cast around his leg relieves the pain slightly. His observations are within normal ranges. 

What is the definitive treatment? 

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