Severe fracture complications in myelodysplasia.
Prevention of fractures in the patient with myelodysplasia is aided by minimizing disuse osteoporosis by continuing weight-bearing whenever possible. The presentation and treatment of lower extremity fractures in the postoperative myelodysplasic patient have been reviewed. After these fractures severe systemic dysfunction can occur. A clinical situation involving hypovolemia and suggestive of fat embolism has responded well to immobilization in the posterior half of the spica cast and to fluid replacement.
D002370:Casts, Surgical / Q000009:adverse effects; D002675:Child, Preschool; D004620:Embolism, Fat / Q000209:etiology*; D005260:Female; D005592:Fracture Fixation / Q000009:adverse effects*; D005598:Fractures, Spontaneous / Q000150:complications*; D006400:Hematocrit; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000150:complications*; D010024:Osteoporosis / Q000209:etiology*; D012306:Risk; D012769:Shock / Q000209:etiology