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okay so iamp;#39;ve got alex tromster in the room and weamp;#39;re talking about shatsuka six uh so weamp;#39;ve got a nice case here uh talk me through this one this looks high energy yeah pretty high energy so this guy is in his 50s heamp;#39;s uh quite a big lad and he jumped out first floor window because his house was on fire oh wow so heamp;#39;s got no other injuries heamp;#39;s not burned or anything like this but itamp;#39;s this is a you know fall from two three times your own height yeah um and so iamp;#39;m looking at this and immediately you can see this is the ambulance view um or ed view heamp;#39;s got an inflatable splint on but itamp;#39;s kind of a proximal tibial explosion yeah the jointamp;#39;s not too bad and i can see you know heamp;#39;s probably got two fairly decent chunks of condyle yeah but the bits that are scaring me in this are thereamp;#39;s massive metaphor diaphyseal comminution um and the tuberosity is probably a separate piece i