Online ISSN: 2515-8260

Keywords : fractures


EARLY INTERVENTION V/S DELAYED INTERVENTION? DILEMMA IN BILATERAL SHAFT FEMUR FRACTURES WITH EVOLVING FEATURES OF FAT EMBOLISM — DAMAGE CONTROL NAILING

Dr.B.S.Murthy , Dr.V.A.SenthilKumar, Dr.ManojDubey, Dr.OzairKhan, Dr.SyedTauseefulhaque, Dr. NishantSahu

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3378-3385

Bilateral femur fractures are uncommon in the adult population with most of the
patients presenting with or develop features of Fat embolism in early stages. The treating
team including Emergency physician,Surgeon and Intensivist and Anaesthesiologist are often
in a dilemma about appropriate management of these patients.The purpose of this study was
to review our institutional experience with a study of simultaneous bilateral femur fractures
with evolving symptoms of fat embolism and to highlight the presentation, treatment, and
outcomes of these injuries , in order to identify any clinically relevant differences that may
guide future management. Our study also helps us to guide for early intervention with
damage control nailing with smaller diameter nail instead of waiting for the symptoms of fat
embolism to wean off.