Chase Rebecca D, Amin Sheena J, Mashru Rakesh P, Dolch Henry J, Graf Kenneth W
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, United States of America.
Drexel University College of Medicine, Philadelphia, PA, United States of America.
Trauma Case Rep. 2020 Oct 14;30:100365. doi: 10.1016/j.tcr.2020.100365. eCollection 2020 Dec.
Fat embolism syndrome (FES) is a rare complication associated with long bone fractures. Intramedullary nailing is the gold standard for treating patients with these injuries and early surgical intervention can prevent FES. However, there is a paucity of data on managing these patients once FES has developed. The purpose of this study is to present 3 unique cases of polytrauma patients with long bone fractures who underwent fixation with Taylor Spatial Frame, open reduction and internal fixation, or submuscular plating for treatment of these injuries. All 3 patients had complete cognitive and physical recovery.
脂肪栓塞综合征(FES)是一种与长骨骨折相关的罕见并发症。髓内钉固定是治疗此类损伤患者的金标准,早期手术干预可预防FES。然而,一旦FES发生,关于管理这些患者的数据却很少。本研究的目的是介绍3例多发伤合并长骨骨折患者的独特病例,这些患者接受了泰勒空间框架固定、切开复位内固定或肌下钢板固定来治疗这些损伤。所有3例患者均实现了认知和身体功能的完全恢复。