Reaming versus non-reaming in medullary nailing: Interference with cortical circulation of the canine tibia
- 1 January 1990
- journal article
- research article
- Published by Springer Science and Business Media LLC in Archives of orthopaedic and trauma surgery
- Vol. 109 (6), 314-316
- https://doi.org/10.1007/bf00636168
Abstract
Medullary nails have only been used with reluctance in the treatment of open fractures since reaming interferes with the cortical circulation. The technique of interlocking offers the interesting possibility of inserting a relatively stiff nail which does not necessarily require reaming. The effects of reaming prior to nail insertion upon the cortical circulation was investigated in the canine tibia. Intravital staining with procion red was used to trace areas of disturbed circulation. Nail insertion without reaming provided clear advantages for the bone's blood supply, while reaming disturbed perfusion in two-thirds of the cortical area and regionally extended through the entire thickness of the cortex. The disturbance without reaming was limited to the inner layer of the cortex and involved only one-third of the cortical cross-section.Keywords
This publication has 18 references indexed in Scilit:
- Ender Rods Versus External Fixation in the Treatment of Open Tibial FracturesClinical Orthopaedics and Related Research, 1990
- [Closed femoral intramedullary nailing without drilling--a 14-year evaluation].1987
- The Effects of Reaming and Intramedullary Nailing on Fracture HealingClinical Orthopaedics and Related Research, 1986
- [New aspects of closed intramedullary nailing and marrow cavity reaming in animal experiments. III. Bone-healing, revascularisation and remodelling (author's transl)].1980
- [New aspects of closed intramedullary nailing and marrow cavity reaming in animal experiments. II. Intramedullary pressure in marrow cavity reaming (author's transl)].1980
- 62. Die NagelungLangenbecks Archiv für Chirurgie, 1974
- Tibial Blood Supply in Relation to Fracture HealingClinical Orthopaedics and Related Research, 1974
- [Dynamic and static locking of the intramedullary nail].1972
- Intramedullary Nailing after Reaming: An Investigation on the Healing Process in Osteotomized Rabbit TibiasActa Orthopaedica, 1970
- Die Marknagelung des TrümmerbruchesLangenbecks Archiv für Chirurgie, 1968