Reaming versus non-reaming in medullary nailing: Interference with cortical circulation of the canine tibia
| Autor: | S. B. Kessler, R. Frigg, M. P. M. Klein, Stephan M. Perren, B. A. Rahn |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Tibia
Medullary cavity business.industry General Medicine Anatomy Bone Nails Bone and Bones Fracture Fixation Intramedullary Tibial Fractures Dogs Animal model Procion red medicine.anatomical_structure Regional Blood Flow Cortex (anatomy) Fracture fixation Nail (anatomy) Animals Medicine Female Orthopedics and Sports Medicine Surgery Blood supply business |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 109:314-316 |
| ISSN: | 1434-3916 0936-8051 |
| DOI: | 10.1007/bf00636168 |
| Popis: | Medullary nails have only been used with reluctance in the treatment of open fractures since reaming interferes with the cortical circulation. The technique of interlocking offers the interesting possibility of inserting a relatively stiff nail which does not necessarily require reaming. The effects of reaming prior to nail insertion upon the cortical circulation was investigated in the canine tibia. Intravital staining with procion red was used to trace areas of disturbed circulation. Nail insertion without reaming provided clear advantages for the bone's blood supply, while reaming disturbed perfusion in two-thirds of the cortical area and regionally extended through the entire thickness of the cortex. The disturbance without reaming was limited to the inner layer of the cortex and involved only one-third of the cortical cross-section. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink