Femoral Nailing in a Porcine Model Causes Bone Marrow Emboli in the Lungs and Systemic Emboli in the Heart and Brain.
Steinar KristiansenAnders Hagen JarmundJonas HilmoTom Eirik MollnesMartin Leth-OlsenSiri Ann NyrnesBent Aksel NilsenRenathe Henriksen GrønliBjørn Ove FaldaasBenjamin S StormArild EspenesErik Waage NielsenPublished in: JB & JS open access (2024)
Femoral intramedullary nailing in humans is likely to result in embolization as described in our pig model. Focused monitoring is necessary for detection of fat embolism syndrome. Absence of visual emboli in the left ventricle on TEE does not exclude the occurrence of systemic bone marrow emboli.