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.
Copyright © 2010 Elsevier Ltd. All rights reserved.
MeSH terms
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Animals
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Biomechanical Phenomena / physiology
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Blood Flow Velocity / physiology
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Body Temperature / physiology
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Bone Marrow / blood supply
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Bone Nails
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Bone and Bones / anatomy & histology
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Bone and Bones / blood supply*
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Bone and Bones / surgery
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Fracture Fixation, Intramedullary / adverse effects
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Fracture Fixation, Intramedullary / instrumentation
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Fracture Fixation, Intramedullary / methods*
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Fracture Healing / physiology
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Fractures, Bone / physiopathology
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Fractures, Bone / surgery*
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Humans
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Pressure
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Treatment Outcome