Prolonged coma after unreamed, locked nailing of femoral shaft fracture.
نویسندگان
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.
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...
متن کاملSurgical factors contributing to nonunion in femoral shaft fracture following intramedullary nailing
PURPOSE To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. METHODS We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatica...
متن کاملPresentation of a Humeral Shaft Fracture Treated by Locked Intramedullary Nailing With Unlocked Technique
INTRODUCTION Although intramedullary nailing (IMN) is used in a reamed or unreamed fashion for treatment of long bone fractures, the locked nails may also be used in the unlocked form if so decided by the orthopedic surgeon. CASE PRESENTATION We describe a 50-year-old man who had a shaft fracture of his right humerus. The fracture was treated with a reamed, locked IMN using unlocked technique...
متن کاملThe incidence of non-union following unreamed intramedullary nailing of femoral shaft fractures
متن کامل
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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ورودعنوان ژورنال:
- Anesthesiology
دوره 94 1 شماره
صفحات -
تاریخ انتشار 2001