Case number 4 : motor vehicle accident

Abstract

Ms. SD is a 38-year-old female from Sliema who presented to Accident and Emergency after being involved in a motor vehicle accident. She was the pillion-rider on a motorcycle when the accident occurred and she suffered extensive wounds particularly to her left lower limb. No pulses were felt in her left leg when the ambulance arrived and a circa 10 cm segment of her tibia was lying external to her body on the road. She underwent four surgeries in less than two weeks to repair her blood supply, fix her tibia and pelvis and to close the wound using a skin graft. Another surgery was also carried out a month later to remove some areas of infection in the left tibia and to have a ring fixator applied.