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Review Question - QID 218814

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QID 218814 (Type "218814" in App Search)
A 24-year-old male presents following a motorcycle crash with an isolated injury to his right lower extremity. He has a 3x2 cm wound over the fracture site, and he immediately receives a tetanus booster. The patient is splinted, optimized, and brought to the operating room within six hours of presentation. The wound is thoroughly debrided and classified as a Type IIIB fracture. Deemed stable, the plastic surgery team arrives and acutely performs a free flap for coverage, following definitive fixation with an intramedullary nail. Which factor of his care most increases his risk of infection?
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