The biological and physiological effects of intramedullary reaming.
This paper summarises the current knowledge on the effects of medullary reaming of long-bone fractures. Following a review of intramedullary vascular physiology, the consequences for vascularity, the autograft effects, the generation of heat, and fat embolism are outlined. Also, alternative reaming techniques are described.
Pape
H-C
HC
University of Pennsylvania, Pittsburgh, Pennsylvania 15213, USA. papehc@upmc.edu
Giannoudis
P
P
D000818:Animals; D001783:Blood Flow Velocity / Q000502:physiology; D001858:Bone Nails; D001842:Bone and Bones / Q000098:blood supply*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D008297:Male