Fat embolism syndrome in femoral shaft fractures: does the initial treatment make a difference?☆
نویسندگان
چکیده
OBJECTIVE To identify the risk factors correlated with the initial treatment performed. METHODS This is a retrospective study involving a total of 272 patients diagnosed with femoral shaft fractures. Of the patients, 14% were kept at rest until the surgical treatment, 52% underwent external fixation, 10% received immediate definitive treatment, and 23% remained in skeletal traction (23%) until definitive treatment. RESULTS There were six cases of fat embolism syndrome (FES), which showed that polytrauma is the main risk factor for its development and that initial therapy was not important. CONCLUSION Polytrauma patients have a greater chance of developing FES and there was no influence from the initial treatment.
منابع مشابه
Respiratory Complications after Early versus Late Stabilization of Femoral Shaft Fracture
Background: Respiratory problems are common after long bone fractures. The objective of the present investigation is to evaluate the effect of early fixation of femoral shaft fracture on the incidence of respiratory problems. Methods: The results of early and late stabilization of femoral shaft fractures were studied in 150 patients. The patients were divided into two groups according to the st...
متن کاملMotor Aphasia as a Rare Presentation of Fat Embolism Syndrome; A Case Report
Fat embolism syndrome is a clinical diagnosis, and diagnostic procedures are not specific. In every trauma patient, Fat embolism syndrome has to be considered as a possibility and supportive treatment should begin as soon as possible. The authors reported a rare case of Fat embolism syndrome whose only neurological symptom was motor aphasia. A young man sustained comminuted femoral shaft frac...
متن کاملThe Prophylactic Effect of Methyl Prednisolone Sodium Succinate against Fat Embolism in Long Bones Fractures
In this prospective study the effect of low dose methylprednisolone succinate (10mg/kg) on the incidence of fat embolism syndrome and isolated arterial hypoxemia in 99 patients with long bone fracture (52 control and 47 steroid-trated subjects) was studied. Frequency of fractures among the selected patients was as follows: femoral fracture 52.5%, tibial fracture 36.4%, both femoral and tibial f...
متن کاملEfficacy of Corticosteroids in Prevention of Fat Embolism Syndrome in Patients with Long Bone Fracture
Fat embolism syndrome refers to a constellation of symptoms secondary to the presence of fat globules in the lung parenchyma and/or peripheral blood circulation. The syndrome is most often seen in association with long bone or pelvic fractures and can cause significant morbidity and mortality. The present randomized double blind placebo-controlled trial was conducted to evaluate the efficacy of...
متن کاملDoes Tranexamic Acid Reduce Bleeding during Femoral Fracture Operation?
Background:Proximal Femoral shaft fractures are commonly associated with marked blood loss which can lead topostoperative acute anemia and some other complications.Tranexamic acid (TA) is an antifibrinolytic medication that reduces intra-and postoperative blood loss and transfusionrequirements during some elective surgeries (1-3).The aim of this study is to evaluate the effect of intravenous Tr...
متن کامل