Fat Embolism Syndrome in Fracture Tibia Treated By Unreamed Interlocking Nail

What to Learn from this Article?

1. Serious events like Fat Embolism can occur in low risk cases of long bone fracture and the infrastructure and expertise should be ready to tackle any such situation?


Case Snippet | Volume 3 | Issue 1 | JOCR Jan – March 2013 | Page 32-33


Authors: Chandra Prakash Pal [1], Harish Kumar [2], Karuna Shankar Dinkar [1], Alok Agrawal [1]

[1] Department of Orthopaedics, S.N. Medical college, Agra, U.P. India

[2]Department of Orthopaedics, Safdarjung hospital New Delhi, India

Address of Correspondence: Dr. Chandra Parkash Pal,Department of Orthopaedics, S.N. Medical college, Agra, U.P. India. Email: drcportho@gmail.com


Abstract

Incidence of Fat embolism syndrome (FES) in fractures is about 16.3 but sometimes it is as high as 50% to 62% .The fat embolism is common in fatty bed ridden patients and in whom reamed interlocking is performed under tourniquet with prolonged injury-surgery interval. However in the case discussed here FES occurred under the exact opposite circumstances.  In this 23 year lean and thin female with closed tibia fracture unreamed interlocking was performed without tourniquet & the operative procedure was done within 4 hours after trauma. Her pre-operative investigation were within normal limit. We want to discuss by this case report to highlight that even when risk factors are absent outlier events of FES  can occur in any case and symptoms should not be discounted.

Keywords: Fat embolism, tibia fracture, unreamed nail


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How to Cite This Article: Pal CP, Kumar H, Dinkar KS, Agrawal A, . Fat Embolism Syndrome in Fracture Tibia Treated by Unreamed Interlocking Nail. Journal of Orthopaedic Case Reports 2013 Jan-March;3(1): 32-33. Available from: http://www.jocr.co.in/wp/wp-content/uploads/Jan-March-2013-Article-10.pdf


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