Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 29, Volume 69, Issue 4, October 2017, Page 2361-2365 PDF (208.85 K) | ||||
Document Type: Original Article | ||||
DOI: 10.12816/0041542 | ||||
View on SCiNiTO | ||||
Authors | ||||
Sami Amer M Alqarni1; Lama Ibrahim Alorain2; Mohammed Salman AlHabib3; Awath Fahim Alsulami4; Abdulaziz Muhammed AlEssa5; Zohor Abdullah Alamri1; Rakan Fraih Jarallah Almuazzi6; Hala Mohammed Bin Zaid7; Yousif Ali Brshoum Almutairi8; Mohammed Ahmed H Ageeli9; Saleem Othman Rafi Alamri10; Omar Abdulmohsen Alshadokhi11; Saeed Hamed Alzahrani12; Sulaiman Dawoud Dashti13; Ahmed Atiah Awwadh Alsalmi14 | ||||
1King Khalid University, Abha, Saudi Arabia | ||||
2Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia | ||||
3Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia, | ||||
4Umm Al-Qura University, Mecca, Saudi Arabia | ||||
5King Faisal University, Hofuf, Saudi Arabia | ||||
6Hail University, Hail, Saudi Arabia | ||||
7Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia | ||||
8October 6 University, Cairo, Egypt | ||||
9Jazan University, Jazan, Saudi Arabia | ||||
10Ohud Hospital, Medina, Saudi Arabia | ||||
11Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia | ||||
12Najran University, Najran, Saudi Arabia | ||||
13University of Malta, Malta | ||||
14Taif University, Taif, Saudi Arabia | ||||
Abstract | ||||
In spite of being rare, fat embolism syndrome is considered a fatal complication after bone fracture and orthopedic procedures. It was suggested that early immobilization might reduce the incidence of fat embolism syndrome. However, no enough data are available to justify this finding. Objectives: The aim of this review is to determine the incidence of fat embolism among patients who had long fracture fixation. Methods: A systematic review of Medline and Cochrane library was conducted on their database. This search yielded 34 papers, 13 of which were related. Results: The incidence of fat embolism syndrome after long fracture fixation ranged from 2.7% and 11%. More specifically, the incidence among long bone fracture patients who were operated early (within the first 24 hours after injury) ranged from zero% in some studies (16,19) to 1.8% in others. As regards late operation, after 24 hour of bone fracture, the incidence of fat embolism syndrome (FES) ranged from 3.5% to 10.4. Conclusions: The incidence of fat embolism in post long fracture fixation is very low. Several research works indicate that early fixation significantly reduce the incidence of FES compared to late fixation. | ||||
Keywords | ||||
Fat Embolism; Long Bone Fracture; Long bone Fixation; Immobilization | ||||
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