title: Fatal pulmonary embolization after reaming of the femoral medullary cavity in sclerosing osteomyelitis: a case report.
abstract: Reaming of the medullary may be used in cases of sclerosing osteomyelitis (type Garré), refractory to other methods. We report a case of fatal intraoperative complication related to this procedure. An otherwise healthy young patient died during reaming using a machine-driven reamer of the femoral medullary canal due to pulmonary bone embolism. The technique and the indication for this procedure as well as the intraoperative monitoring options are discussed.
authors.affiliation: Department of Trauma Surgery, Hannover Medical School, Germany.
authors.forename: H C
authors.initials: HC
authors.lastname: Pape
authors.forename: C
authors.initials: C
authors.lastname: Krettek
authors.forename: H
authors.initials: H
authors.lastname: Maschek
authors.forename: G
authors.initials: G
authors.lastname: Regel
authors.forename: H
authors.initials: H
authors.lastname: Tscherne
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005269:Femur / Q000473:pathology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D009985:Orthopedics / Q000379:methods; D010019:Osteomyelitis / Q000473:pathology / Q000601:surgery*; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology; D013514:Surgical Procedures, Operative / Q000379:methods