Physiologic effects of intramedullary reaming.

  title={Physiologic effects of intramedullary reaming.},
  author={Asheesh Bedi and Madhav A. Karunakar},
  journal={Instructional course lectures},
Reaming has a significant biologic and mechanical impact on the physiology of fracture healing. A review of the thermal, pulmonary, and osteogenic effects of reaming can provide evidence-based guidelines to assist the clinician in improving patient outcomes. Thermal necrosis is a rare but commonly referenced complication of reaming. The risks of heat-induced cortical damage can be minimized by sequential reaming with sharp instruments and by reaming with instruments that are sized appropriately… CONTINUE READING