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The biological and physiological effects of intramedullary reaming
1University of Pennsylvania, Pittsburgh, Pennsylvania 15213, USA. papehc@upmc.edu
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.
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