Author(s)

Ngo Yamben Marie-Ange^1,2*, Nana Chunteng Theophile³, Nseme Etouckey Eric¹, Muluem Kennedy Olivier¹, Tsiagadigui Tsiagadigui Jean Gustave¹, Ndongo Mvela Laurent Stephane^1,2, Manga Alexandre^1,2, Guifo Marc Leroy^1,4

¹Faculty of Medecine and Biomedical Sciences, Department of Surgery and Specialities, University of Yaounde 1, Yaounde, Cameroon.
²National Center of Rehabilitation of Disabilities Persons, Yaounde, Cameroon.
³Faculty of Health Sciences, Department of Surgery, University of Buea, Buea, Cameroon.
⁴Teaching Hospital of Yaounde, Yaounde, Cameroun.

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.

Lymphœdema, Multiple Fractures, Bone Infarction, Amputation, Damage Control Orthopaedic

Marie-Ange, N. , Chunteng Theophile, N. , Etouckey Eric, N. , Kennedy Olivier, M. , Jean Gustave, T. , Laurent Stephane, N. , Alexandre, M. and Marc Leroy, G. (2022) Chronic Lymphoedema and Bone Infarction: Rare Complications of Multiple Segmental Fractures of the Lower Limb in a Young Adult. Open Journal of Orthopedics, 12, 79-84. doi: 10.4236/ojo.2022.123009.