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Unfallchirurg ; 125(2): 160-164, 2022 Feb.
Article in German | MEDLINE | ID: mdl-34110430

ABSTRACT

In consequence of a car accident a 20-year-old woman with bilateral fractures of the femur and an unilateral lower leg fracture was treated with external fixation. Afterwards she was soporific with signs of impaired consciousness and required intubation and intensive medical care surveillance. A cerebral fat embolism syndrome could be detected as the reason, which was characterized by acute respiratory insufficiency, neurological symptoms and petechiae. Subsequently, definitive treatment was performed by intramedullary nailing. After neurological and orthopedic rehabilitation no performance inhibiting limitations remained.


Subject(s)
Embolism, Fat , Femoral Fractures , Fracture Fixation, Intramedullary , Multiple Trauma , Adult , Embolism, Fat/diagnosis , Embolism, Fat/etiology , Female , Femoral Fractures/diagnostic imaging , Femoral Fractures/surgery , Fracture Fixation, Intramedullary/adverse effects , Humans , Lower Extremity , Multiple Trauma/diagnostic imaging , Multiple Trauma/surgery , Young Adult
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