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Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article

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Last updated: 24 Dec 2024

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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.  
 
 

DOI

10.12816/0041542

Keywords

Fat Embolism, Long Bone Fracture, Long bone Fixation, Immobilization

Authors

First Name

Sami Amer M

Last Name

Alqarni

MiddleName

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Affiliation

King Khalid University, Abha, Saudi Arabia

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Orcid

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First Name

Lama Ibrahim

Last Name

Alorain

MiddleName

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Affiliation

Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia

Email

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Orcid

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First Name

Mohammed Salman

Last Name

AlHabib

MiddleName

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Affiliation

Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia,

Email

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Orcid

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First Name

Awath Fahim

Last Name

Alsulami

MiddleName

-

Affiliation

Umm Al-Qura University, Mecca, Saudi Arabia

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Orcid

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First Name

Abdulaziz Muhammed

Last Name

AlEssa

MiddleName

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Affiliation

King Faisal University, Hofuf, Saudi Arabia

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Orcid

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First Name

Zohor Abdullah

Last Name

Alamri

MiddleName

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Affiliation

King Khalid University, Abha, Saudi Arabia

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Orcid

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First Name

Rakan Fraih Jarallah

Last Name

Almuazzi

MiddleName

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Affiliation

Hail University, Hail, Saudi Arabia

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Orcid

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First Name

Hala Mohammed Bin

Last Name

Zaid

MiddleName

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Affiliation

Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

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Orcid

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First Name

Yousif Ali Brshoum

Last Name

Almutairi

MiddleName

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Affiliation

October 6 University, Cairo, Egypt

Email

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City

-

Orcid

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First Name

Mohammed Ahmed H

Last Name

Ageeli

MiddleName

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Affiliation

Jazan University, Jazan, Saudi Arabia

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Orcid

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First Name

Saleem Othman Rafi

Last Name

Alamri

MiddleName

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Affiliation

Ohud Hospital, Medina, Saudi Arabia

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Orcid

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First Name

Omar Abdulmohsen

Last Name

Alshadokhi

MiddleName

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Affiliation

Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia

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City

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Orcid

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First Name

Saeed Hamed

Last Name

Alzahrani

MiddleName

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Affiliation

Najran University, Najran, Saudi Arabia

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Orcid

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First Name

Sulaiman Dawoud

Last Name

Dashti

MiddleName

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Affiliation

University of Malta, Malta

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City

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Orcid

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First Name

Ahmed Atiah Awwadh

Last Name

Alsalmi

MiddleName

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Affiliation

Taif University, Taif, Saudi Arabia

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Volume

69

Article Issue

4

Related Issue

2178

Issue Date

2017-10-01

Receive Date

2018-08-29

Publish Date

2017-10-01

Page Start

2,361

Page End

2,365

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 69_Issue 4_Pages 2361-2365.pdf

PDF . 213.9kB

Link

https://ejhm.journals.ekb.eg/article_11890.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11890

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article

Details

Type

Article

Created At

22 Jan 2023