{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:01:57Z","timestamp":1785391317742,"version":"3.55.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Fat Embolism Syndrome is a dangerous complications, which cause by the lipid particles from fracture site block micro micro-circulation vessels in the vital organs (pulmonary, cardiac and Skin). The adolescents who's bone were during an active period of bone growth. Although FES is rare in adolescents, those with long-bone fractures remain at risk. The developmental, psychological, and social needs of adolescent patients differ from those of adults, necessitating age-specific nursing approaches, and the clinical manifestations, psychological and social responses, and rehabilitation needs of adolescents patients are different with adult patients. Therefore, this report takes the nursing practice of patients with 17-year-old tibial fractures and concurrent FES, which focuses on the early identification within the \u201c24\u201372\u2005h\u201d time window after trauma and the systematic organ support. Based on the nursing practice of this case we concluded our experience about personalized nursing plan that integrates advanced monitoring technology, developmental psychological and social support, and early rehabilitation intervention can truly improve oxygenation, stabilize the internal environment, and promote dual rehabilitation of both the body and the mind. So, it is also an excellent evidence-based reference for the nursing care of FES in adolescents.<\/jats:p>","DOI":"10.3389\/fsurg.2026.1919622","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:39:10Z","timestamp":1785389950000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing management of fat embolism syndrome complicating tibial fracture in an adolescent: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Danqiong","family":"Wang","sequence":"first","affiliation":[{"name":"Department of of Intensive Care Unit, Ningbo No.6 Hospital","place":["Ningbo, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianjun","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of of Intensive Care Unit, Ningbo No.6 Hospital","place":["Ningbo, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Nursing, Ningbo No.6 Hospital","place":["Ningbo, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e044744","DOI":"10.1161\/JAHA.125.044744","article-title":"Associations between metabolic score for visceral fat and venous thromboembolism among 118619 participants with metabolic syndrome: insights from epidemiology to genetic susceptibility","volume":"15","author":"Liu","year":"2026","journal-title":"J Am Heart Assoc"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2412","DOI":"10.1016\/j.radcr.2026.02.024","article-title":"Complicated renal angiomyolipoma with renal vein fat embolism mimicking lipid-rich renal cell carcinoma: a case report","volume":"21","author":"Alsaleh","year":"2026","journal-title":"Radiol Case Rep"},{"key":"B3","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1097\/TA.0000000000004434","article-title":"Fat embolism syndrome after trauma: what you need to know","volume":"97","author":"Kwon","year":"2024","journal-title":"J Trauma Acute Care Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e147","DOI":"10.1097\/BPO.0000000000003092","article-title":"Bilateral femur fractures in children: 14 years of experience at a level I pediatric trauma center","volume":"46","author":"Laredo","year":"2026","journal-title":"J Pediatr Orthop"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e80339","DOI":"10.7759\/cureus.80339","article-title":"\u201cTerrible triad\u201d injury in an adolescent patient with a high-energy femoral shaft fracture: a case report","volume":"17","author":"Koskiniotis","year":"2025","journal-title":"Cureus"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1811","DOI":"10.1007\/s00431-023-04869-6","article-title":"Multisystemic involvement of post-traumatic fat embolism at a pediatric trauma center: a clinical series and literature review","volume":"182","author":"Piastra","year":"2023","journal-title":"Eur J Pediatr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e257702","DOI":"10.1136\/bcr-2023-257702","article-title":"Cerebral fat emboli in a patient with paraplegia caused by bilateral femur fractures","volume":"17","author":"Nielsen","year":"2024","journal-title":"BMJ Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5704\/MOJ.2103.001","article-title":"Fat embolism syndrome - a qualitative review of its incidence, presentation, pathogenesis and management","volume":"15","author":"Timon","year":"2021","journal-title":"Malays Orthop J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.injury.2008.03.013","article-title":"Early onset fat embolism syndrome: case report and literature review","volume":"39","author":"Ahmed","year":"2008","journal-title":"Inj Extra"},{"key":"B10","doi-asserted-by":"publisher","first-page":"3000605211028415","DOI":"10.1177\/03000605211028415","article-title":"Late-onset isolated cerebral fat embolism syndrome after a simple tibial plateau fracture: a rare case report","volume":"49","author":"Hsu","year":"2021","journal-title":"J Int Med Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e96136","DOI":"10.7759\/cureus.96136","article-title":"Fat embolism syndrome: evolving perspectives on diagnosis and care","volume":"17","author":"Shaikh","year":"2025","journal-title":"Cureus"},{"key":"B12","doi-asserted-by":"publisher","first-page":"317","DOI":"10.13004\/kjnt.2025.21.e29","article-title":"Severe traumatic cerebral fat embolism following pelvic fracture: a case report and literature review","volume":"21","author":"Hyung","year":"2025","journal-title":"Korean J Neurotrauma"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.3390\/JCM13102956","article-title":"High-flow nasal cannula system in respiratory failure associated with interstitial lung diseases: a systematic review and narrative synthesis","volume":"13","author":"Pagliaro","year":"2024","journal-title":"J Clin Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1186\/s13613-024-01389-w","article-title":"Oxygen therapy and noninvasive respiratory supports in acute hypoxemic respiratory failure: a narrative review","volume":"14","author":"Thille","year":"2024","journal-title":"Ann Intensive Care"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.2169\/internalmedicine.4472-24","article-title":"Fat embolism syndrome treated with methylprednisolone","volume":"64","author":"Baba","year":"2025","journal-title":"Intern Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"w30088","DOI":"10.4414\/SMW.2022.w30088","article-title":"Short-term glucocorticoid-related side effects and adverse reactions: a narrative review and practical approach","volume":"152","author":"Noetzlin","year":"2022","journal-title":"Swiss Med Wkly"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1566578","DOI":"10.3389\/fmed.2025.1566578","article-title":"Case report: recovery of consciousness ahead of MRI image lesion information in cerebral fat embolism syndrome","volume":"12","author":"Zhuang","year":"2025","journal-title":"Front Med"},{"key":"B18","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s12883-021-02076-0","article-title":"Post-traumatic cerebral fat embolism syndrome with a favourable outcome: a case report","volume":"21","author":"Wang","year":"2021","journal-title":"BMC Neurol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1038\/s41584-022-00848-7","article-title":"Paediatric glucocorticoid toxicity index: new possibilities in assessment","volume":"18","author":"King","year":"2022","journal-title":"Nat Rev Rheumatol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"101482","DOI":"10.1016\/j.ienj.2024.101482","article-title":"When is a fracture not just a fracture? Exploring emergency nurses\u2019 knowledge of osteoporosis in the west of Ireland","volume":"75","author":"Tierney","year":"2024","journal-title":"Int Emerg Nurs"},{"key":"B21","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.pedn.2023.01.001","article-title":"Adolescent hope in the context of nursing care: a scoping review","volume":"69","author":"Paramos","year":"2023","journal-title":"J Pediatr Nurs"},{"key":"B22","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s00264-024-06385-0","article-title":"The three stages of polytrauma rehabilitation- a recommendation and a systematic literature review on behalf of SICOT","volume":"49","author":"Klingebiel","year":"2025","journal-title":"Int Orthop"},{"key":"B23","doi-asserted-by":"publisher","first-page":"103573","DOI":"10.1016\/j.iccn.2023.103573","article-title":"Early mobilisation within 72 hours after admission of critically ill patients in the intensive care unit: a systematic review with network meta-analysis","volume":"80","author":"Daum","year":"2024","journal-title":"Intensive Crit Care Nurs"},{"key":"B24","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1097\/BOT.0000000000002283","article-title":"Cognitive-behavioral-based physical therapy for improving recovery after traumatic orthopaedic lower extremity injury (CBPT-trauma)","volume":"36","author":"Archer","year":"2022","journal-title":"J Orthop Trauma"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e158","DOI":"10.1097\/BOT.0000000000001430","article-title":"Clinical practice guidelines for pain management in acute musculoskeletal injury","volume":"33","author":"Hsu","year":"2019","journal-title":"J Orthop Trauma"},{"key":"B26","doi-asserted-by":"publisher","first-page":"106794","DOI":"10.1016\/j.jstrokecerebrovasdis.2022.106794","article-title":"Cerebral fat embolism syndrome at a single trauma center","volume":"31","author":"Singh","year":"2022","journal-title":"J Stroke Cerebrovasc Dis"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1919622\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:39:11Z","timestamp":1785389951000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1919622\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":26,"alternative-id":["10.3389\/fsurg.2026.1919622"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1919622","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"article-number":"1919622"}}