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The biological and physiological effects of intramedullary reaming



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Abstract

This paper summarises the current knowledge on the effects of medullary reaming of long-bone fractures. Following a review of intramedullary vascular physiology, the consequences for vascularity, the autograft effects, the generation of heat, and fat embolism are outlined. Also, alternative reaming techniques are described.


Correspondence should be sent to Professor H.-C. Pape; e-mail: papehc@upmc.edu

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