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

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.