A missed injury in multiple trauma patient-is it avoidable?

We report a case of a 24-year-old male with fractures at multiple levels of both femur and tibia. The patient was operated upon and a satisfactory clinical outcome was achieved. In spite of a thorough secondary survey, a displaced ankle fracture had been missed. The case is reported for the unusual combination of fractures and to highlight the importance of undetected injuries. We recommend that a tertiary survey should be carried out routinely in all polytrauma patients to prevent missed injuries.