Fat embolism: the reaming controversy.

  title={Fat embolism: the reaming controversy.},
  author={Peter V Giannoudis and Christopher H Tzioupis and H. -Ch. Pape},
  volume={37 Suppl 4},
Intramedullary nailing is the preferred treatment method for stabilizing femoral diaphyseal fractures. Despite its superior biomechanical advantages over other implants, its use, particularly in selected groups of patients, has been questioned because of the possible harmful systemic effects of intramedullary reaming. The increase in intramedullary canal pressure during intramedullary nailing can result in intravasation of bone marrow and fat into the venous blood system. The subsequent… CONTINUE READING
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