• Der Unfallchirurg · Sep 2009

    Review Case Reports

    [Fat embolism syndrome following lower limb fracture despite rapid external fixation. Two case reports and review of the literature].

    • K Kleinert, D Marug, P Soklic, and H-P Simmen.
    • Universitätsspital Zürich, Zürich, Schweiz. kathi-kk@web.de
    • Unfallchirurg. 2009 Sep 1; 112 (9): 796-8.

    AbstractFat embolism syndrome (FES) is a rare complication occurring in 0.9-2.2% of patients following long bone fractures. Patients present with a classical triad of respiratory manifestations, cerebral effects and petechiae. The incidence of FES is reduced by early immobilization of fractures and by minimally invasive operative management. Nevertheless, two healthy young men suffered from FES after immediate (within 3 h after trauma) external fixation of lower leg fractures. This postoperative complication should always be considered even after conservative or minimally invasive therapy.

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