Wednesday, April 25, 2018

Risk correction in Fat Embolism Syndrome

Q: Early operative correction of fractures increases the chance of fat embolism syndrome (FES)?

A) True
B) False

Answer: B (False)

Few measures which decrease the chances of FES after long bone trauma include early immobilization of fracture, early operative correction, intraosseous pressure limitation and arguably steroids.


1. Riska EB, Myllynen P. Fat embolism in patients with multiple injuries. J Trauma 1982; 22:891. 

2. Kröpfl A, Davies J, Berger U, et al. Intramedullary pressure and bone marrow fat extravasation in reamed and unreamed femoral nailing. J Orthop Res 1999; 17:261. 

3. Sen RK, Tripathy SK, Krishnan V. Role of corticosteroid as a prophylactic measure in fat embolism syndrome: a literature review. Musculoskelet Surg 2012; 96:1.

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