Fat embolism syndrome in patients with bilateral femur fractures: a systematic review and case comparison.
bilateral femur fracture
fat embolism
fat embolism syndrome
femur fracture
long bone fracture
trauma
Journal
OTA international : the open access journal of orthopaedic trauma
ISSN: 2574-2167
Titre abrégé: OTA Int
Pays: United States
ID NLM: 101770383
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
28
10
2021
accepted:
09
12
2021
entrez:
11
8
2022
pubmed:
12
8
2022
medline:
12
8
2022
Statut:
epublish
Résumé
Fat embolism and fat embolism syndrome (FES) remain common complications following long bone fractures. Incidence is highest after bilateral femur fractures. We performed a systematic review of FES after bilateral femur fractures and present two cases. Systematic literature search of the Cochrane, EMBASE, MEDLINE, Scopus, and, Web of Science Library databases was performed in August 2021. Terms used including plural and alternate spellings: "fat embolism,""fat embolism syndrome,""fat embolus," and "bilateral femur fracture." Articles in German and English were considered. No time frame was applied. Original studies, case series and case reports on fat embolism after bilateral femur fracture were included. Insufficient documentation or patients with relevant previous heath conditions were excluded. Abstracts were organized using EndNote X9 by Carivate. Three authors independently screened the abstracts; cross check of the extracted data was performed by the senior author. Scarcity of articles only allowed for a qualitative synthesis. Data was compared with our cases and situated within the scientific background. Ten articles were included for qualitative synthesis ( FES remains a relevant complication after bilateral femur fractures, despite damage control strategies and improved reaming techniques. Fracture displacement and reduction maneuvers might play a more substantial role in the formation than previously accredited. 4.
Identifiants
pubmed: 35949269
doi: 10.1097/OI9.0000000000000187
pii: OTAI-D-21-00076
pmc: PMC9359015
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e187Informations de copyright
Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
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