Management of neglected multiple lower limb fractures with vessel injury in second trimester antenatal patient – A rare case report

Abstract

Lower limb fracture with vessel injury pregnant patients is rare and poorly discussed in the literature. In case of lower limb fractures with antenatal patient whether limb should be salvaged or amputated, if amputated whether baby should be delivered vaginally or by LSCS, keeping in mind the best possible outcome for both mother and her baby is still a gray area in orthopaedics parlance. We report a rare case of 28 year old antenatal patient who suffered from femoral and both bone leg fractures with vessel injury following road traffic accident which was managed with fracture stabilisation and amputation at knee level. Unfortunately wound got infected and daily EUSOL wash and ASDs were done and finally after five and half months baby was delivered vaginally and delivery was uneventful.