Introduction: A multiple long-bone shaft fracture is associated with developing systemic complications and increased morbidity and mortality. Optimal timing for surgery of polytrauma patients according to damage control orthopedics principles is crucial. Case Presentation: We present a 5-year-old boy referred after a pedestrian car accident with right femoral shaft fractures, a left distal femur fracture, and a left tibial fracture. The patient was classified as a borderline state according to the orthopedic trauma team and was managed accordingly. Conclusions: An article review is presented that signifies the potential benefits of delays in operativemultitrauma fracture fixation, particularly for patients in a borderline state.