Alqarni, S., Alorain, L., AlHabib, M., Alsulami, A., AlEssa, A., Alamri, Z., Almuazzi, R., Zaid, H., Almutairi, Y., Ageeli, M., Alamri, S., Alshadokhi, O., Alzahrani, S., Dashti, S., Alsalmi, A. (2017). Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article. The Egyptian Journal of Hospital Medicine, 69(4), 2361-2365. doi: 10.12816/0041542
Sami Amer M Alqarni; Lama Ibrahim Alorain; Mohammed Salman AlHabib; Awath Fahim Alsulami; Abdulaziz Muhammed AlEssa; Zohor Abdullah Alamri; Rakan Fraih Jarallah Almuazzi; Hala Mohammed Bin Zaid; Yousif Ali Brshoum Almutairi; Mohammed Ahmed H Ageeli; Saleem Othman Rafi Alamri; Omar Abdulmohsen Alshadokhi; Saeed Hamed Alzahrani; Sulaiman Dawoud Dashti; Ahmed Atiah Awwadh Alsalmi. "Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article". The Egyptian Journal of Hospital Medicine, 69, 4, 2017, 2361-2365. doi: 10.12816/0041542
Alqarni, S., Alorain, L., AlHabib, M., Alsulami, A., AlEssa, A., Alamri, Z., Almuazzi, R., Zaid, H., Almutairi, Y., Ageeli, M., Alamri, S., Alshadokhi, O., Alzahrani, S., Dashti, S., Alsalmi, A. (2017). 'Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article', The Egyptian Journal of Hospital Medicine, 69(4), pp. 2361-2365. doi: 10.12816/0041542
Alqarni, S., Alorain, L., AlHabib, M., Alsulami, A., AlEssa, A., Alamri, Z., Almuazzi, R., Zaid, H., Almutairi, Y., Ageeli, M., Alamri, S., Alshadokhi, O., Alzahrani, S., Dashti, S., Alsalmi, A. Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article. The Egyptian Journal of Hospital Medicine, 2017; 69(4): 2361-2365. doi: 10.12816/0041542
Incidence of Fat Embolism after Long Fracture Fixation Operations: Review Article
2Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
3Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia,
4Umm Al-Qura University, Mecca, Saudi Arabia
5King Faisal University, Hofuf, Saudi Arabia
6Hail University, Hail, Saudi Arabia
7Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
8October 6 University, Cairo, Egypt
9Jazan University, Jazan, Saudi Arabia
10Ohud Hospital, Medina, Saudi Arabia
11Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia
12Najran University, Najran, Saudi Arabia
13University of Malta, Malta
14Taif University, Taif, Saudi Arabia
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.
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