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

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.

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Bibliographic Details
Main Authors: Silva,Janio Jose Alves Bezerra, Diana,Diogo de Almeida, Salas,Victor Eduardo Roman, Zamboni,Caio, Hungria Neto,Jose Soares, Christian,Ralph Walter
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500535
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Summary: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.