# The use of suction-assisted liposuction for lymphoedema management and rotational flap closure in a bariatric patient with lower limb open fracture

## TL;DR

A bariatric patient with a severe ankle injury and lymphoedema used liposuction to aid in tissue repair and recovery.

## Contribution

Demonstrates the effectiveness of suction-assisted liposuction in managing lymphoedema and facilitating flap closure in complex trauma cases.

## Key findings

- Suction-assisted liposuction reduced limb volume and improved tissue compliance.
- The patient achieved uncomplicated healing and functional recovery.
- Fracture union was successfully attained without complications.

## Abstract

Advanced lymphoedema and morbid obesity complicate soft-tissue reconstruction following open fractures. A 43-year-old woman with a Gustilo–Anderson IIIb ankle fracture underwent suction-assisted liposuction to reduce limb volume and improve tissue compliance, enabling tension-free rotational flap coverage. Healing was uncomplicated, with fracture union and functional recovery.