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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Fat embolism syndrome in femoral shaft fractures: does the initial treatment make a difference?
Jânio José Alves Bezerra Silva1, Diogo de Almeida Diana1, Victor Eduardo Roman Salas1
1Irmandade da Santa Casa de Misericóridia de São Paulo, São Paulo, SP, Brazil.
Objective:
To identify the risk factors correlated with the initial treatment performed.
Methods:
This is a retrospective study involving a total of 272 patients diagnosed with femoral shaft fractures. Of the patients, 14% were kept at rest until the surgical treatment, 52% underwent external fixation, 10% received immediate definitive treatment, and 23% remained in skeletal traction (23%) until definitive treatment.
Results:
There were six cases of fat embolism syndrome (FES), which showed that polytrauma is the main risk factor for its development and that initial therapy was not important.
Conclusion:
Polytrauma patients have a greater chance of developing FES and there was no influence from the initial treatment.
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