{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T14:04:18Z","timestamp":1743775458465},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2010year\u2010old 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.<\/jats:p>","DOI":"10.1111\/1556-4029.13769","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T20:32:57Z","timestamp":1519936377000},"page":"1895-1898","source":"Crossref","is-referenced-by-count":2,"title":["A Rare Fatal Complication of Llizarov Procedure"],"prefix":"10.1111","volume":"63","author":[{"given":"Asit Kumar","family":"Sikary","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine and Toxicology All India Institute of Medical Sciences Ansari Nagar New Delhi India 110029"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology All India Institute of Medical Sciences Ansari Nagar New Delhi India 110029"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shivani","family":"Dhaka","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology All India Institute of Medical Sciences Ansari Nagar New Delhi India 110029"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arulselvi","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Pathology JPN Apex Trauma Centre All India Institute of Medical Sciences Raj Nagar New Delhi India 110029"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_4_2_1","unstructured":"LittlewoodR.The benefit and risks of the Ilizarov technique for limb reconstruction;http:\/\/www.ouh.nhs.uk\/limbreconstruction\/information\/documents\/Ilizarovtechniqueforlimbreconstruction.pdf(accessed February 7 2018)."},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B10.16468"},{"key":"e_1_2_4_4_1","volume-title":"Limb lengthening and reconstruction surgery","author":"Ilizarov S","year":"2007"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199001000-00011"},{"key":"e_1_2_4_6_1","first-page":"139","article-title":"The complication rate in Ilizarov surgery","volume":"85","author":"Adair A","year":"2003","journal-title":"Orthop Proc"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00004"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949900000800112"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11751-010-0085-9"},{"key":"e_1_2_4_10_1","first-page":"243","volume-title":"Advances in operative orthopaedics","author":"Paley D","year":"1993"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00180230"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-78522005000400010"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010835"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e31822a6428"},{"key":"e_1_2_4_15_1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1097\/00003086-198405000-00011","article-title":"Fatal complication of femoral elongation in an achondroplastic dwarf","volume":"185","author":"Ganel A","year":"1984","journal-title":"Clin Orthop Relat Res"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1556-4029.13769","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.13769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T02:44:17Z","timestamp":1694918657000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.13769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/1556-4029.13769"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.13769","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}