Prolonged coma after unreamed, locked nailing of femoral shaft fracture.

نویسندگان

  • R J Byrick
  • R E Korley
  • M D McKee
  • E H Schemitsch
چکیده

USING transesophageal echocardiography, echogenic material can be shown in the right ventricle during many orthopedic procedures. Recently, transcranial Doppler–recorded microembolic signals have been described during femoral fracture fixation, suggesting that medullary pressurization may be associated with systemic microembolism and pulmonary fat and marrow emboli. Although reamed, locked intramedullary nailing is the procedure of choice for most femoral shaft fractures, some investigators advocate the use of smalldiameter, locking, unreamed nails to decrease the risk of fat emboli. We report a case of severe intraoperative fat embolism after an unreamed locked intramedullary nailing.

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منابع مشابه

Injuries Associated with Femoral Shaft Fractures with Special Emphasis on Occult Injuries

  Background: Fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. The purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. Methods: We studied 148 patients (150 femoral shaft fractures) wi...

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Injuries associated with femoral shaft fractures with special emphasis on occult injuries.

BACKGROUND Fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. The purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. METHODS We studied 148 patients (150 femoral shaft fractures) with...

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عنوان ژورنال:
  • Anesthesiology

دوره 94 1  شماره 

صفحات  -

تاریخ انتشار 2001