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Chronic Lymphoedema and Bone Infarction: Rare Complications of Multiple Segmental Fractures of the Lower Limb in a Young Adult

2022; Scientific Research Publishing; Volume: 12; Issue: 03 Linguagem: Inglês

10.4236/ojo.2022.123009

2164-3008

Ngo Yamben Marie-Ange, Nana Chunteng Theophile, Nseme Etouckey Eric, Muluem Kennedy Olivier, Jean Gustave Tsiagadigui, Ndongo Mvela Laurent Stephane, Manga Alexandre, Guifo Marc Leroy,

Hip disorders and treatments

Multiple segmental fractures of the lower limbs, common in developing countries, are the prerogative of Road Traffic Accidents (RTA) involving two-wheeled vehicles. Their management is difficult, associated with complications, and is most often based on a two-stage strategy: Damage Control Orthopaedics, followed by delayed internal osteosynthesis. The aim is to allow early functional rehabilitation and rapid recovery of patients. We report the case of a 39-year-old man, bike rider, after his RTA, presented with segmental homolateral fractures of the femur and two bones of the left leg. Short-term evolution was marked by the appearance of significant lymphedema and bone infarctions of the lower left limb necessitating a transfemoral amputation. Through this observation, the authors highlight the problems related to the complexity of the management of multiple segmental fractures of the lower limb by emphasizing two post-traumatic complications rarely described but to be feared: chronic lymphedema and bone infarction.