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Pulmonary Effects of Fixation of a Fracture with a Plate Compared with Intramedullary Nailing. A Canine Model of Fat Embolism and Fracture Fixation* by.

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Presentation on theme: "Pulmonary Effects of Fixation of a Fracture with a Plate Compared with Intramedullary Nailing. A Canine Model of Fat Embolism and Fracture Fixation* by."— Presentation transcript:

1 Pulmonary Effects of Fixation of a Fracture with a Plate Compared with Intramedullary Nailing. A Canine Model of Fat Embolism and Fracture Fixation* by EMIL H. SCHEMITSCH, RINA JAIN, DIANA C. TURCHIN, J. BRENDAN MULLEN, ROBERT J. BYRICK, GAIL I. ANDERSON, and ROBIN R. RICHARDS J Bone Joint Surg Am Volume 79(7):984-96 July 1, 1997 ©1997 by The Journal of Bone and Joint Surgery, Inc.

2 Fig. 1-A, 1-B, and 1-C: Radiographs showing the three methods used for fixation of the fracture of the right canine femur. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

3 Fig. 1-B: Fixation with an intramedullary nail (4.5 by 150.0 millimeters) without reaming. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

4 Fig. 1-C: Fixation with an intramedullary nail (8.0 by 150.0 millimeters) with reaming. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

5 Fig. 2-A, 2-B, and 2-C: Photomicrographs of histological specimens, after staining with osmium tetroxide, demonstrating embolic fat (arrows). EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

6 Fig. 2-B Specimen from a brain (x 200). EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

7 Fig. 2-C Specimen from a kidney (x 200). EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

8 Fig. 3 Line graph showing pulmonary artery pressure (PAP) over time in the group in which the fracture was fixed at four hours. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

9 Fig. 4 Line graph showing pulmonary artery pressure (PAP) over time in the group in which the fracture was fixed at twenty-four hours. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

10 Fig. 5 Bar graph showing the alveolar-arterial PO2 gradients over time in the group in which the fracture was fixed at four hours. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.

11 Fig. 6 Bar graph showing the alveolar-arterial PO2 gradients over time in the group in which the fracture was fixed at twenty-four hours. EMIL H. SCHEMITSCH et al. J Bone Joint Surg Am 1997;79:984-96 ©1997 by The Journal of Bone and Joint Surgery, Inc.


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