PMID: 3769284Nov 1, 1986Paper

The effects of reaming and intramedullary nailing on fracture healing

Clinical Orthopaedics and Related Research
S B KesslerL Schweiberer

Abstract

Most closed fractures of the shaft of the femur and tibia can be treated successfully with internal fixation with medullary or interlocking nails. Unlike plate fixation, intramedullary nailing does not provide absolutely rigid fixation, so that some motion at the fracture site exists. The process of reaming causes circulatory disturbances in the inner two-thirds of the diaphyseal cortex. However, this does not impede the formation of external callus. The parts of bone that have sustained vascular damage by trauma or surgery are revascularized. Delay in the healing process due to disruption of the blood supply to fracture fragments is not known. The majority of patients are able to weight-bear a few days after surgery.

Citations

Jul 22, 1998·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·O GrundnesO Reikerås
Jan 26, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·William P GrantRoy Sabo
Nov 25, 2003·ANZ Journal of Surgery·Wicky C F WongWilliam R Walsh
Apr 15, 2011·Journal of Biomedical Materials Research. Part a·Astrid D BakkerJenneke Klein-Nulend
Feb 16, 2005·Injury·M C ForsterS Ahmed
Sep 23, 2006·Injury·Hans-Christoph PapePeter V Giannoudis
Jul 12, 2011·Injury·Ioannis D GelalisTheodoros A Xenakis
Jul 26, 2008·Archives of Orthopaedic and Trauma Surgery·Rainer PenzkoferPeter Augat

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