title: The biology of intramedullary reaming.
abstract: In this review we focus on the local biologic and physiologic effects of intramedullary reaming of long bones. Among the topics discussed are the consequences for vascularity, as well as the pathophysiology of intramedullary pressure generation and temperature increase. Reaming techniques and their suggested effects on bone formation are outlined. Moreover, techniques for avoiding local and systemic complications are summarized.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University of Aachen Medical Center, 30 Pauwels Street, 52074 Aachen, Germany. rpfeifer@ukaachen.de
authors.forename: Roman
authors.initials: R
authors.lastname: Pfeifer
authors.forename: Richard
authors.initials: R
authors.lastname: Sellei
authors.forename: Hans-Christoph
authors.initials: HC
authors.lastname: Pape
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena / Q000502:physiology; D001783:Blood Flow Velocity / Q000502:physiology; D001831:Body Temperature / Q000502:physiology; D001853:Bone Marrow / Q000098:blood supply; D001858:Bone Nails; D001842:Bone and Bones / Q000033:anatomy & histology / Q000098:blood supply* / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011312:Pressure; D016896:Treatment Outcome