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Case Reports in Orthopedics
Volume 2018, Article ID 7236372, 3 pages
Case Report

Lymph Drainage of Posttraumatic Edema of Lower Limbs

1Department of Santa Casa de São Paulo and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil
2ABC Medicine School, Santo André and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil
3Faculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São Jose do Rio Preto, SP, Brazil
4Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP) and CNPq (National Council for Research and Development), São Jose do Rio Preto, SP, Brazil

Correspondence should be addressed to José Maria Pereira de Godoy; moc.liamg@pmjyodog

Received 2 September 2017; Revised 19 November 2017; Accepted 14 December 2017; Published 5 March 2018

Academic Editor: Christian W. Müller

Copyright © 2018 Ana Carolina Pereira de Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The present study was aimed at evaluating the use of mechanical and manual lymphatic therapy as a treatment for lymphedema resulting from orthopedic surgery that became painful after an episode of erysipelas. Case Report. A 70-year-old male patient suffered direct trauma resulting in a compound fracture of the tibia and fibula of the left leg. He was treated with an external fixator for four months followed by plaster cast immobilization for three weeks. He presented with fever and paresthesia in the lower left limb that resulted in an episode of erysipelas, and the patient evolved with painful lymphedema. Treatment using the Godoy and Godoy technique was proposed, including manual and mechanical lymphatic therapy. Water displacement volumetry was used to quantify the leg size reduction. Results. After 10 sessions of therapy, the patient presented a significant reduction in the limb volume and remission of symptoms. Conclusions. The method used may be a promising option for the treatment of posttraumatic edemas with pain.