Reamer irrigator aspirator (RIA) reduces risk of fat embolism in bilateral pediatric femur shaft fractures: a case report

Author:

Jacobson Erik1,Schieve Bailey C2,Klahs Kyle J3ORCID,Macias Reuben A3,Abdelgawad Amr4,Thabet Ahmed M3

Affiliation:

1. Pacific Northwest University-Health Sciences Medical School , Yakima, WA 98901 , United States

2. Uniformed Services University Medical School , Bethesda, MD 20814 , United States

3. Department of Orthopaedic Surgery, Texas Tech University Health Science Center , El Paso TX 79905 , United States

4. Department of Orthopaedic Surgery, Maimonides Medical Center , Brooklyn, NY 11219 , United States

Abstract

Abstract A 14-year-old male patient was successfully treated with the reamer irrigator aspirator for femur intramedullary rod preparation after sustaining right and left closed femur fractures because of an all-terrain vehicle accident. In patients already categorized as high risk for fat embolism syndrome, such as those with bilateral femur fractures, reaming both femora greatly increases the likelihood of this complication. The reamer irrigator aspirator provides an effective tool that potentially mitigates the risk of fat embolism syndrome in pediatric patients with this type of orthopedic trauma.

Publisher

Oxford University Press (OUP)

Reference22 articles.

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2. Simultaneous bilateral femur fractures in children: a case series from a pediatric level I trauma center and review of the literature;Shah;Iowa Orthop J,2020

3. Single-case metanalysis of fat embolism syndrome;He;Int J Cardiol,2021

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