| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Open fracture of tibia and fibula, shaft | Is a | Fracture of shaft of tibia and fibula | true | Inferred relationship | Some |  |  | 
| Open fracture of tibia and fibula, shaft | Is a | Open fracture of lower leg | false | Inferred relationship | Some |  |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Finding site | Lower leg structure | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Finding site | Shafts of tibia and/or fibula in combination | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Finding site | Bone structure of lower limb | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Finding site | Bone structure of shaft of tibia | true | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Finding site | Bone structure of shaft of fibula (body structure) | true | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 3 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture | false | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Is a | Open fracture of shaft of tibia | true | Inferred relationship | Some |  |  | 
| Open fracture of tibia and fibula, shaft | Is a | Open fracture of tibia AND fibula (disorder) | false | Inferred relationship | Some |  |  | 
| Open fracture of tibia and fibula, shaft | Is a | Open fracture of shaft of fibula | true | Inferred relationship | Some |  |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | true | Inferred relationship | Some | 2 |  | 
| Open fracture of tibia and fibula, shaft | Associated morphology | Fracture, open | true | Inferred relationship | Some | 1 |  | 
| Open fracture of tibia and fibula, shaft | Due to | Traumatic event (event) | true | Inferred relationship | Some | 3 |  |