Fat embolism: special situations Bilateral femoral fractures and pathologic femoral fractures☆
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Cited by (34)
Successful resuscitation from cardiac arrest due to histologically revealed tumor embolism following bilateral intramedullary nailing of metastatic femoral lesions
2021, Journal of Orthopaedic ScienceCitation Excerpt :Relative to other patients, patients with multiple metastatic bone lesions appear to have a higher volume of fat and tumor specimens in the intramedullary cavity, which leads to a higher risk of embolism. Due to their belief that the risk of death during simultaneous nailing is sufficiently high, certain authors insist on considering a staged approach, especially for impending fractures [5,11,12]. However, there appear to be no data to support a staged operation for multiple impending or pathologic fractures.
Fat embolism syndrome: State-of-the-art review focused on pulmonary imaging findings
2016, Respiratory MedicineCitation Excerpt :FES is relatively rare with reported incidence in the setting of trauma of 1–2% [6]. The incidence is higher in bilateral femoral fractures (4.8%–7.5%), and following intra-medullary nail fixation (up to 11%) [7]. There are reports suggesting that the risk of FES is higher if the timing of intra-medullary nailing is delayed [8].
Fat embolism syndrome: Do the CT findings correlate with clinical course and severity of symptoms? A clinical-radiological study
2016, European Journal of RadiologyCitation Excerpt :In 12 patients diagnosed with FES, 7 had limited symptoms (NF-FES) whereas 5 had a fulminant course (F-FES) with acute respiratory failure requiring intensive care support. While some risk factors have been linked to an increased risk of severe disease [10–13], the clinical course of FES remains unpredictable. The wide range of manifestations likely correlates with the burden of fat emboli and the severity of secondary lung injury, reflecting the two main processes postulated in the pathophysiology of FES.
Bilateral femoral shaft fractures complicated by fat and pulmonary embolism: A case report
2015, InjuryCitation Excerpt :Fat embolism (FE) is very common: found in 95% of femoral shaft fractures. Fat Embolism Syndrome (FES) in isolated femoral fracture has been reported between 1–10% [5–11] but in bilateral fractures it is suspected to be higher [10]. An external brace or cast and skeletal traction should not be considered prophylactic for preventing FES [9,12–14].
Development of a standardized trauma-related lung injury model
2015, Journal of Surgical Research
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