Author(s)

Siniki Fandebnet^1*, Ngamai Kotyade¹, Adamou Abbasi², Dingamnodji Magloire¹, Mahamat Bahar Abdelsalam³, Yusra Aboulbachar⁴, Assi Constant⁵, Andre Daniel Sane⁶

¹Department of Orthopaedics and Traumatology, Renaissance University Hospital, N’Djamena, Chad.
²Department of Anesthesia, Renaissance University Hospital, N’Djamena, Chad.
³Department of Accident and Emergency, Renaissance University Hospital, N’Djamena, Chad.
⁴Department of Medicine, Renaissance University Hospital, N’Djamena, Chad.
⁵Department of Cardiology, Renaissance University Hospital, N’Djamena, Chad.
⁶Department of Surgery, Cheik Anta Diop University, Dakar, Senegal.

Although open leg fractures are very common in orthopedics and traumatology, bilateral open leg fractures are extremely rare and are usually associated with an increased risk of complications. We report a case of a simultaneous, asymmetrical, comminuted and bilateral open fracture of the tibia and fibula by a firearm that occurred during an escape attempt in a 29-year-old prisoner. The pre-operative radiological assessment found an open fracture of both legs of the ballistic type; multiple traumatic gunshot wounds with a narrow entry hole and a wide exit hole. Early surgical intervention of intravenous antibiotics, tetanus prophylaxis and open fracture irrigation and debridement was performed within the 6 hour rule. The treatment consisted of a posterior splint followed by trimming andosteosynthesis using a FESSA external fixator from the military health service. A second operation was not needed. Evolution was favorable with ambulation starting from the 45th day. Simultaneous and bilateral tibia-fibula fractures by a firearm are exceptional, therefore, the treatment was surgical with the pre-operative and post-operative protocols well managed.

Simultaneous Bilateral Tibia-Fibula Fractures, Gunshot Wounds, External Fixator, Ballistic Fractures

Fandebnet, S. , Kotyade, N. , Abbasi, A. , Magloire, D. , Abdelsalam, M. , Aboulbachar, Y. , Constant, A. and Sane, A. (2022) Simultaneous, Asymmetrical, Comminuted and Bilateral Ballistic Fractures by Multiple Gunshot Wounds and a Review of Its Literature: A Case Report in Chad. Open Journal of Orthopedics, 12, 377-382. doi: 10.4236/ojo.2022.1210038.