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Fat embolism syndrome in femoral shaft fractures: does the initial treatment make a difference?

作者信息

Silva Jânio José Alves Bezerra, Diana Diogo de Almeida, Salas Victor Eduardo Roman, Zamboni Caio, Hungria Neto José Soares, Christian Ralph Walter

机构信息

Irmandade da Santa Casa de Misericóridia de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Ortop. 2017 Sep 14;52(5):535-537. doi: 10.1016/j.rboe.2016.08.021. eCollection 2017 Sep-Oct.

DOI:10.1016/j.rboe.2016.08.021
PMID:29062816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5643893/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee7/5643893/903b1fa4f762/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee7/5643893/903b1fa4f762/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee7/5643893/903b1fa4f762/gr1.jpg

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Second hit phenomenon: existing evidence of clinical implications.二次打击现象:现有临床意义的证据。
Injury. 2011 Jul;42(7):617-29. doi: 10.1016/j.injury.2011.02.011. Epub 2011 Apr 3.
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Skeletal traction versus external fixation in the initial temporization of femoral shaft fractures in severely injured patients.在严重受伤患者股骨干骨折的初始临时固定中,骨牵引与外固定的比较。
J Trauma. 2010 Mar;68(3):633-40. doi: 10.1097/TA.0b013e3181cef471.
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Fat embolism syndrome.脂肪栓塞综合征
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