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Orthopedic Trauma Directions 2004; 2(1): 17-24
DOI: 10.1055/s-2004-829205
DOI: 10.1055/s-2004-829205
Femoral shaft fractures
Reamed versus unreamed intramedullary nailingFurther Information
Publication History
Publication Date:
11 June 2004 (online)

Summary
It appears that unreamed nailing is significantly faster (operative time) with less blood loss compared with unreamed nailing in the treatment of femoral shaft fractures; however, reamed nailing contributes to faster union times and fewer delayed unions. Neither appears to significantly increase the risk of other complications including pulmonary compromise. Functional outcomes cannot be determined.
- 1 Klein M et al.. 1990; Reaming versus non-reaming in medullary nailing: interference with cortical circulation of the canine tibia. Arch Orthop Trauma Surg. 109 314-316
- 2 Heim D, Schlegel U, Perren S. 1993; Intramedullary pressure in reamed and unreamed nailing of the femur and tibia-an in vitro study in intact human bones. Injury. 24 (Suppl. 3) 56-64
- 3 Wenda K et al.. 1993; Pathogenesis and clinical relevance of bone marrow embolism in medullary nailing: demonstrated by intraoperative echocardiography. Injury. 24 (Suppl.3) 73-81
- 4 Melcher GA et al.. 1995; Influence of reaming versus nonreaming in intramedullary nailing on local infection rate. Experimental investigation in rabbits. J Trauma. 39 1123-1128
- 5 Runkel M et al.. 1994; Knochenheilung nach unaufgebohrter Marknagelung. Unfallchirurg. 97 1-7