An employee was operating a stand-up forklift in reverse when his left leg was pinned between the forklift and a guardrail. The employee sustained fractures of the bilateral femoral condyles, lateral tibial plateau and proximal fibula with moderate lipohemarthrosis, a contusion of the medial thigh adjacent to the greater saphenous vein without evidence of significant vascular injury, and a subcutaneous hematoma lateral to the left knee.