Does the Reamer Type Influence the Degree of Lung Dysfunction After Femoral Nailing Following Severe Trauma? An Animal Study

Pape, Hans-Christian; Dwenger, A.; Grotz, M.; Kaever, V.; Negatsch, Ruth; Kleemann, W. J.; Regel, G.; Sturm, J. A.; Tscherne, H.

doi:10.1097/00005131-199408000-00005

Cited by 96 publications

(54 citation statements)

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“…The normal marrow pressure is 30±50 mmHg but can be increased up to 600 mmHg during intramedullary reaming [58]. Intramedullary devices are associated with higher pressures within the marrow cavity and more FE than extramedullary fixation [59,60]. Ultrasonographically, most emboli occur during opening and manipulation of the intramedullary cavity [61].…”

Section: Infloating Theorymentioning

confidence: 99%

Fat embolism

2001

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SummaryFat embolism syndrome is a collection of respiratory, haematological, neurological and cutaneous symptoms and signs associated with trauma and other disparate surgical and medical conditions. The incidence of the clinical syndrome is low (, 1% in retrospective reviews) whilst the embolisation of marrow fat appears to be an almost inevitable consequence of long bone fractures. There is debate over the pathogenesis of fat embolism syndrome and it seems a variety of factors interact to produce a spectrum of end organ damage. Many therapeutic interventions and prophylactic strategies have been tried with varying success. Current treatments are supportive and the condition is usually associated with a good outcome. The literature on fat embolism syndrome is extensive and this review aims to discuss the incidence, aetiology, pathophysiology, diagnosis and treatment of fat embolism.

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Section: Infloating Theorymentioning

confidence: 99%

Fat embolism

2001

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“…The reamer/irrigator/ aspirator (RIA) system (Synthes, Inc., West Chester, PA) was developed as a simultaneous reaming and aspiration system to reduce the intramedullary pressure, heat generation, operating time, and systemic effects of reaming (eg, fat embolism) [2,10,11,14,16,17,22]. Even though the device was conceived in the 1970s, it was not developed for clinical use until the late 1990s [3].…”

Section: Introductionmentioning

confidence: 99%

Bone Graft Harvest Using a New Intramedullary System

Belthur

Conway

Jindal

et al. 2008

Clinical Orthopaedics &Amp; Related Research

147

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Obtaining autogenous bone graft from the iliac crest can entail substantial morbidity. Alternatively, bone graft can be harvested from long bones using an intramedullary (IM) harvesting system. We measured bone graft volume obtained from the IM canals of the femur and tibia and documented the complications of the harvesting technique. Donor site pain and the union rate were compared between the IM and the traditional iliac crest bone graft (ICBG) harvest. Forty-one patients (23 male, 18 female) with an average age of 44.9 years (range, 15-78 years) had graft harvested from long bones using an IM harvest system (femoral donor site, 37 patients; tibial donor site, four patients). Forty patients (23 male, 17 female; average age, 46.4 years; range, 15-77 years) underwent anterior ICBG harvest. We administered patient surveys to both groups to determine pain intensity and frequency. IM group reported lower pain scores than the ICBG group during all postoperative periods. Mean graft volume for the IM harvest group was 40.3 mL (range, 25-75 mL) (graft volume was not obtained for the ICBG group). Using an intramedullary system to harvest autogenous bone graft from the long bones is safe provided a meticulous technique is used.

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“…Also, certain surgical procedures were reportedly associated with defined risks [44,48,53]. Depending on the type of surgery, the presence of specific comorbidities can be associated with a predictable increase in inflammatory markers [45,46,54,59,61]. In addition, to gain a systematic understanding of MOF and systemic inflammatory response syndrome [22,56], various animal models were developed.…”

Section: Effects Of Clinical and Experimental Research On In-hospitalmentioning

confidence: 99%