Even if a vet doesn't have reptile experience, they should be able to xray a limb and set it if necessary. If s/he's ever worked with small birds or pocket pets like hamsters the same basic principles are involved. If the bone marrow is exposed the gecko needs an antibiotic shot to prevent sepsis and infection of the bone so it's not something most folks can treat by themselves.
Swelling can also be caused by infection, in which case the vet usually lances it and draws out the fluid, stains it to see if the bacteria involved is gram negative or gram positive and then prescribes an appropriate antibiotic.
Good luck and let us know how your gecko fares.
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