A Rare Fatal Complication of Llizarov Procedure

Journal of Forensic Sciences
Asit Kumar SikaryArulselvi Subramanian

Abstract

Ilizarov process is used for the management of multiple fractures, polytrauma conditions, cosmetic limb lengthening, and fracture malunion. Complications associated with the process are nerve palsy, joint contracture, premature or delayed osseous consolidation, a nonunion and permanent stiffness of the joint, pin tract infection, edema, and transient paresthesia, etc. In our case, there was a fatal complication. A 25-year-old African lady underwent the Ilizarov procedure for femur lengthening in a hospital in New Delhi, India. During her first distraction process, she suddenly collapsed at the hospital and could not be revived. At postmortem, a small hematoma was seen around the surgically fractured area. On histopathology of internal organs, fat globules were present in the vasculature of brain and lungs. Cause of death was opined as due to fat embolism. This is the first case reported of a fatal fat embolism following Ilizarov procedure for limb lengthening in a healthy adult.

References

Oct 1, 1994·International Orthopaedics·J D AquerretaJ Cañadell
Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R J VelazquezR Tibshirani
Dec 7, 2002·Journal of Orthopaedic Surgery·Jean-Claude TheisJ Kenwright
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Apr 3, 2010·Strategies in Trauma and Limb Reconstruction·Claudio IacobellisRoberto Aldegheri
Aug 6, 2011·The American Journal of Forensic Medicine and Pathology·Peter Miller, Joseph A Prahlow
Jan 21, 2015·Circulation·Ethan KosovaGregory Piazza

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Citations

Oct 3, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Milija D MijajlovicNatan M Bornstein

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