THE DETECTION OF FAT-EMBOLISM BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY DURING REAMED INTRAMEDULLARY NAILING - A STUDY OF 24 PATIENTS WITH FEMORAL AND TIBIAL FRACTURES

被引：158

作者：

PELL, ACH ^{[1
]}

CHRISTIE, J ^{[1
]}

KEATING, JF ^{[1
]}

SUTHERLAND, GR ^{[1
]}

机构：

[1] EDINBURGH ROYAL INFIRM, EDINBURGH EH3 9YW, MIDLOTHIAN, SCOTLAND

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1993年 / 75卷 / 06期

关键词：

D O I：

10.1302/0301-620X.75B6.8245083

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We performed transoesophageal echocardiography on 24 patients during reamed intramedullary nailing of 17 tibial and seven femoral fractures. In 14 patients there was only minimal evidence of emboli passing through the heart, but in six copious showers of small emboli (< 10 mm maximum dimension) were observed. In four other patients, there were also multiple large emboli (> 10 mm maximum dimension). Three of these patients developed fat embolism syndrome postoperatively and one died. Earlier nailing was associated with smaller quantities of emboli.

引用

页码：921 / 925

页数：5

共 17 条

[1] INJURY SEVERITY SCORE - UPDATE [J].

BAKER, SP ;

ONEILL, B .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1976, 16 (11) :882-885

[2] INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].

BAKER, SP ;

ONEILL, B ;

HADDON, W ;

LONG, WB .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196

[3] EARLY VERSUS DELAYED STABILIZATION OF FEMORAL FRACTURES - A PROSPECTIVE RANDOMIZED STUDY [J].

BONE, LB ;

JOHNSON, KD ;

WEIGELT, J ;

SCHEINBERG, R .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1989, 71A (03) :336-340

[4] INTRAMEDULLARY LOCKING NAILS IN THE MANAGEMENT OF FEMORAL-SHAFT FRACTURES [J].

CHRISTIE, J ;

COURTBROWN, C ;

KINNINMONTH, AWG ;

HOWIE, CR .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (02) :206-210

[5] CLOSED INTRAMEDULLARY TIBIAL NAILING - ITS USE IN CLOSED AND TYPE-I OPEN FRACTURES [J].

COURTBROWN, CM ;

CHRISTIE, J ;

MCQUEEN, MM .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (04) :605-611

[6] A NEW CLINICAL AND EXPERIMENTAL CONCEPT ON FAT EMBOLISM [J].

FUCHSIG, P ;

BRUCKE, P ;

BLUMEL, G ;

GOTTLOB, R .

NEW ENGLAND JOURNAL OF MEDICINE, 1967, 276 (21) :1192-&

[7]

GOSSLING HR, 1982, CLIN ORTHOPAEDICS, V165, P68

[8]

Gurd A R, 1970, J Bone Joint Surg Br, V52, P732

[9] INCIDENCE OF ADULT RESPIRATORY-DISTRESS SYNDROME IN PATIENTS WITH MULTIPLE MUSCULOSKELETAL INJURIES - EFFECT OF EARLY OPERATIVE STABILIZATION OF FRACTURES [J].

JOHNSON, KD ;

CADAMBI, A ;

SEIBERT, GB .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (05) :375-384

[10]

LEVY D, 1990, CLIN ORTHOP RELAT R, V261, P281

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