title: Thermal necrosis after tibial reaming for intramedullary nail fixation. A report of three cases.
abstract: We present three young men who sustained closed diaphyseal fracture of the tibia and later developed severe osteocutaneous necrosis induced by heat during intramedullary reaming. They all had a narrow medullary cavity and in all a tourniquet had been used. Each developed a pretibial cutaneous blister soon after operation. In the following month severe osteomyelitis ensued, requiring segmental resection and osteocutaneous reconstruction.
authors.affiliation: Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Leunig
authors.forename: R
authors.initials: R
authors.lastname: Hertel
mesh_terms: D000293:Adolescent; D000328:Adult; D002954:Citrobacter; D004756:Enterobacteriaceae Infections / Q000209:etiology / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods; D005596:Fractures, Closed / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D009336:Necrosis; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011512:Proteus Infections / Q000209:etiology / Q000601:surgery; D011513:Proteus mirabilis; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology / Q000601:surgery; D013977:Tibia / Q000473:pathology / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery