علاج متلازمة الصمة الدهنية عقب كسور الحوض أو العظام الطويلة

References

• Early stabilization of the fracture involving the pelvis or long bones is probably the single most important prophylactic measure that has been shown to result in a decrease in the incidence of FES.
• Early rigid fixation of fractures decreases the recurrent bouts of fat embolism.
• One alternative is to stabilize fractures by external fixation (if possible) initially and then perform the definitive fixation once the clinical situation allows.
• Careful surgical technique that focuses on limiting the medullary canal pressurization associated with reaming is helpful.
• Drilling holes in the cortex to prevent development of high pressures may prevent FES, in some but not all cases.
• Lavaging the marrow before inserting the prosthesis similarly may decrease the amount of marrow available for embolization.
• Venting before the insertion of prosthesis has also been suggested as one strategy to decrease intramedullary pressure and the incidence of FES.
• High-dose methylprednisone (90 mg/kg over 4 days) or a lower dose prophylactically (6 mg/kg over 2 days) has shown some clinical efficacy in improving outcomes.