0
Journal Contents   |    
Fat Embolism of Bone A ROENTGENOGRAPHIC AND HISTOLOGICAL INVESTIGATION, WITH USE OF INTRA-ARTERIAL LIPIODOL, IN RABBITS
JOHN PAUL JONESJR.; LEO SAKOVICH
View Disclosures and Other Information
From the Department of Orthopaedic Surgery and the Rheumatic Disease Group, Department of Medicine, University of California School of Medicine, San Francisco
1966 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1966; 48:149-164 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

In an attempt to produce fat embolism of bone experimentally, a catheter was inserted retrograde into the left common femoral artery of twenty-six adult rabbits, with its tip just proximal to the aorto-iliac bifurcation. An average total amount of 1.3 milliliters of Lipiodol (an iodinated neutral fat which has caused fat embolism in human patients when inadvertently introduced intravascularly) was infused continuously for twenty-two minutes.

Magnification of the roentgenograms of the right femur and tibia of undissected animals and also of the decalcified bones revealed minute intraosseous accumulations of embolic fat globules (radiopaque Lipiodol), demonstrable from ten minutes to seven and one-half days after infusion.

A technique was developed to permit fat staining of bone decalcified without dissolving marrow or embolic fat. Sections of the bones were also prepared with a differential Lipiodol stain, since with routine fat stains marrow fat and Lipiodol neutral fat appear identical.

Intraosseous Lipiodol fat emboli were histologically demonstrated for five weeks; they had obstructed subchondral arteries and capillaries of the femoral head especially. Although rare fat emboli were detected at six and eight weeks, they had disappeared at ten weeks.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Hip
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Virginia - Charleston Area Medical Center