Double Whammy: Rare in-Tandem Impalement Injuries to Ipsilateral Knee and Ankle in a Rural Farmer – A Case Report

Introduction: Impalement injuries are rare injuries and require immediate limb and life-saving measures. Time is of the essence in such cases, and such situations can be challenging for the emergency care providers. Case Report: We report an unusual case of 47-year-old male farmer who was brought to the emergency department with a rare combination of impalement injuries with metallic rotavator blades of a power-tiller lodged in his ipsilateral knee and ankle joints. Conclusion: Impalement injuries are difficult and being rare often call for quick hospital mobilization and a multidisciplinary team management. The safe retrieval of a foreign body depends critically on the quality of pre-hospital care received and on a thorough clinical examination, relevant history, and careful pre-operative preparation.