Fat embolisation is a well-known Complication of skeletal Trauma and surgery. Fat embolisation and Fat Embolism syndrome (FES) are different. The embolisation of fat occurs in all Patients of pelvic or femoral fractures, but the incidence of FES is less than 1? It is more likely to occur in patients with long bone and pelvic fractures .
Femoral shaft fractures and tibial fracture carries highest risk of FES. Age also seems to be the factor in the development of FES, young men with fractures are at increased risk. The presentation of FES can be gradual, developing over a period of 12--72 hours, or fulminant presenting as Acute Respiratory Distress or Cardiac arrest. The pathophysiology of FES is not fully known, but most likely involves the embolisation of fat and bone marrow debris into the lungs and other end organs where it obstructs the capillaries and triggers systemic inflammatory…
