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Four separate injuries of worsening severity sustained following impact with high velocity sand blast. (A) Burst lacerations and skin tears seen at I. (B) Involvement of the underlying subcutaneous and muscular layers, with muscle tears and stripping seen at II. (C) Associated open segmental femoral fracture seen at III, with extensive surrounding soft tissue damage and loss. (D) Complete limb avulsion with traumatic amputation seen at IV.
