Background:

multiple fractures are uncommon injuries caused by isolated or combined mechanisms. Nowadays, its incidence grows up due to high energy trauma and complex lesions.

Objective:

to show a patient with a multiple fracture of the tibia, the used treatment modality to ensure functional recovery.

Case report:

a 60 years old white female patient without morbid antecedents, was taken to the emergency services of Orthopedic and Traumatology complaining of pain, swelling and limitation of movement of the left leg after falling from a carriage. X-rays showed a tibia plateau fracture associated to oblique diaphyseal tibia fracture. Surgical treatment was needed to reduce and fix fractures; a subcutaneous plate was used by two small incisions.

Conclusions:

multiple fractures are unusual lesions, even more when the same bone is affected due to different mechanisms. As being atypical lesions treatment is based on fractures features.

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