• Injury · Mar 1998

    Fat embolism syndrome in isolated femoral fractures: does timing of nailing influence incidence?

    • S J Pinney, J F Keating, and R N Meek.
    • Vancouver Hospital and Health Sciences Center, Canada.
    • Injury. 1998 Mar 1;29(2):131-3.

    AbstractIn a consecutive series of 274 patients with isolated femoral shaft fractures 11 patients (4%) developed fat embolism syndrome. There were no cases of fat embolism syndrome in patients over the age of 35 years. Of the remaining patients, 60 operated on within 10 h of injury did not develop fat embolism. This left 109 patients who had nailing performed more than 10 h after injury of whom eleven (10%) developed fat embolism syndrome (p < 0.027). Patients under the age of 35 years with isolated femoral fractures should have nailing performed as early as possible after injury to minimize fat embolism syndrome.

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