A 52-year-old male presents to the trauma bay following a motorcycle collision. He was going approximately 45 mph. He was found to have an obvious left wrist deformity with an open wound. The patient complains primarily of left forearm pain. He denies any numbness and tingling to the extremity.
No pertinent past medical history.
A focused physical exam of the left upper extremity reveals an obvious forearm deformity with a 2 cm laceration over the dorsal forearm without gross contamination. Compartments are soft to palpation. Sensation is intact to light touch over the radial, median, and ulnar nerve distributions. Motor is intact to wrist flexors, wrist extensors, biceps, and triceps. He has palpable radial and ulnar pulses.
If you choose ORIF with Simultaneous washout and fixation, and the patient presented at 6 pm, when would you take this patient to surgery assuming antibiotics already given?
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