Abstract
A 19-year-old man had an accidental fall from the 2nd floor and sustained multiple injuries.On radio-logical evaluation,the patient had symmetrical quadruple limb involvement with bilateral humerus shaft,bilateral olecranon,bilateral femur shaft,and bilateral patella fractures.The patient was actively managed using damage control orthopaedics,and a sequence of skeletal fixation was planned based on the hemodynamic stability and periodical serum lactate assessment.Symmetrical quadruple limb frac-tures are very rare,which could be associated with higher mortality.A meticulous clinical evaluation,periodical blood parameter assessment and strict adherence to the principles of damage control or-thopaedics can be conducive to prevent life-endangering complications.