In an open fracture of both bones of the leg (tibia and fibula), the tendon most commonly at risk in an anterior wound is the tibialis anterior tendon.

Other anterior-compartment tendons that may be cut are:

The actual tendon injured depends on the wound location. A posterior wound may involve the Achilles tendon instead. Examine ankle and toe dorsiflexion, dorsalis pedis pulse, and deep peroneal nerve sensation.