Faculty Collaboration Database

The effect of single-pass reaming on tibial nail insertion load and stress. J Orthop Trauma 1996;10(8):569-74

Date

01/01/1996

Pubmed ID

8915921

DOI

10.1097/00005131-199611000-00011

Scopus ID

2-s2.0-0030345870 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

This biomechanical study evaluated and compared the longitudinal and perpendicular stresses generated and the applied load required during the insertion of a tibial nail with three different insertion techniques. Insertion of a narrow-diameter nail using an unreamed technique generated significantly greater stress and required significantly greater applied load than either the single-pass reamed technique or a reamed technique. The single-pass reamed technique and the standard reamed technique were not significantly different from each other. This study biomechanically justifies the use of the single-pass reaming technique during the insertion of a narrow-diameter intramedullary nail in severe open tibial fractures. The use of this technique cannot be advocated until the biologic effect of single-pass reaming is more clearly defined.

Author List

Schmeling GJ, McCallum S, Havey R

Author

Gregory J. Schmeling MD Vice Chair, Professor in the Orthopaedic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Biomechanical Phenomena
Bone Nails
Female
Fracture Fixation, Intramedullary
Fracture Healing
Humans
Male
Middle Aged
Models, Biological
Stress, Mechanical
Tibial Fractures
Weight-Bearing