IM Fixation of Fractures (Subscribe)  

OTA Abstract 1998: The purpose of this study was to compare the new reamer system against the standard reaming system on the basis of IM pressures and temperatures generated.
Conclusion: The new low pressure IM reamer design appeared to significantly reduce pressures and reduce temperatures in cadaveric bones when tested against...

OTA Abstract 1998
The purpose of this investigation was to compare the effects of unreamed nail insertion and limited or standard canal reaming, prior to insertion of an intramedullary nail, on cortical bone porosity and new bone formation.
Conclusions: The technique of limited reaming may be advantageous for the treatment of tibial...

OTA abstract 2002
This technique allows for the evaluation and treatment of potentially painful intraarticular pathologic conditions after femur fracture and subsequent retrograde nailing. In our series, 88% of patients were found to have some identifiable pathologic condition most likely related to the index injury and not to the nail or...

9 min technique video - Intramedullary Fixation of Midshaft Clavicle Fractures By: Peter J. Millett

METHODS: Between October 1996 and December 2002, 286 femoral fractures, 211 tibial fractures, and 47 humeral fractures were repaired using variously designed interlocking nails. Fracture pattern, level and site, nail size and type, weight bearing after nailing, and union status were reviewed after a mean follow-up of 22 months. RESULTS:...

Conclusion Fat embolism syndrome may occur as a fulminant complication following femoral fracture repair in the presence of a concomitant atrial septal defect with right-to-left shunt. Thus, in patients with cardiac right-to-left shunts, femurs should not be nailed intramedullary, not even in cases of isolated injuries
Post-traumatic fulminant paradoxical fat embolism syndrome...

OTA paper 1998
To determine if intramedullary reaming causes temperature elevation in cortical bone of sufficient magnitude to cause thermal necrosis. Secondly to determine if intermittent IM irrigation or the use of sharp reamers will reduce this temperature elevation.
linical Application: Whenever possible, sharp reamers should be employed. In patients who require...

Introduction In a Monteggia fracture dislocation, it is important to reduce the ulnar fracture completely. Extensive plastic deformation of the proximal ulna may make reduction by closed manipulation impossible.
Case presentation We report the case of a four-year-old Caucasian boy in whom the plastic deformation of the proximal ulna was reduced, and this...