Paradoxical fat embolism after intramedullary rodding: a case report.
Following intramedullary rodding of two long-bone fractures, a twenty-year-old woman developed the clinical picture of fat embolism syndrome with severe neurological involvement. Corroborating evidence suggested paradoxical embolization of fat as the precipitating cause of this neurologic deterioration. The suspected pathophysiology of this event is discussed.
Kallina IV
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Scott and White Memorial Hospital, Texas A&M University System Health Science Center, College of Medicine, Temple, Texas 76508, USA.
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D000063:Accidents, Traffic; D000328:Adult; D001858:Bone Nails; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004620:Embolism, Fat / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005264:Femoral Fractures / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008279:Magnetic Resonance Imaging; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery