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.




References:

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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