Purpose Fat emboli syndrome is a rare but well-described fractures prioritises early stabilisation with external fixation, complication of long-bone fractures classically characterised staged intramedullary nailing and conversion to plate fixation by a triad of respiratory failure, mental status changes and if FES develops. This protocol is meant to be the basis of petechial rash. In this paper, we present the case of a patient future investigations of optimal treatment strategies. who sustained bilateral femoral fractures and subsequently . . developed FES. Our aim was to review and summarise the Keywords Fat emboli syndrome Bilateral femur fractures . . current literature regarding the pathophysiology and manage- Damage control orthopaedics Complication Femur shaft ment of fat emboli syndrome (FES) and propose an algorithm fracture for treating patients with bilateral femoral fractures to reduce the risk of FES. Methods A literature analysis was performed to determine Introduction implications in the clinical setting. Results Currently, there exists little high-quality evidence to Fat emboli syndrome (FES) is a potentially devastating cause of guide the orthopaedic surgeon in identifying patients at morbidity and mortality in the polytrauma patient. This condi- highest risk of FES or in preventing FES in patients with tion has received attention
International Orthopaedics – Springer Journals
Published: May 30, 2017
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