What is the difference between reamed and Unreamed nails?
Reamed intramedullary nailing is correlated with shorter time to union and lower rates of delayed-union, nonunion, and reoperation. Reamed intramedullary nailing did not increase blood loss or the rates of ARDS, implant failure, and mortality compared to unreamed intramedullary nailing.
What is a reamed nail?
Reamed nailing was defined as insertion of the largest possible intramedullary nail after canal preparation by progressive reaming of the medullary canal until cortical chatter. Unreamed nailing was defined as insertion of a best-fit intramedullary nail, without any preparation of the medullary canal.
What is dynamization of tibial nail?
Dynamization involves the removal of proximal or distal locking screws in a statically locked intramedullary nail allowing weight bearing to stimulate callus formation or bone re-growth at the fracture site.
What is intramedullary nail tibia?
Abstract. Intramedullary nailing is the most popular and widely used method for treating tibial shaft fractures. Intramedullary nailing involves minimal surgical dissection, allowing preservation of blood supply by not disrupting the soft tissue around the fracture.
What is intramedullary reaming?
The stabilization of long bone fractures through reaming the medullary cavity and insertion of an intramedullary nail, with or without locking bolts, was a standard procedure in fracture treatment for a long time.
What are bone Reamings?
Reaming increases the inner diameter of the medullary canal by removing the inner cortical bone and a larger diameter nail can be used. This provides better stability by increasing the interfer- ence and thus the mechanical properties of the nail [2, 5].
What is dynamization nail?
Nail dynamization is defined as the removal of interlocking screws either proximal or distal to the fracture site to permit bony compression at the fracture site. In the past, nail dynamization was routinely performed for all statically locked nails 2 to 4 months after the index surgery.
When do you use dynamization?
dynamization is performed between three and six months, the fracture should heal within nine months after trauma. perform it between three and six months after trauma.
Should intramedullary nails be removed?
Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications.
How is intramedullary nailing done?
Your surgeon will thread a guidewire into the center of the bone. He may need to use a device to make the bone hollow. He will then line up the broken ends of the bone. The nail is then inserted into the hollow part of bone to keep the bones lined up.
When drilling a hole that is to be reamed What should the drill size be?
Material Issues A rule of thumb is 0.010 ” to 0.015 ” should remain after drilling for reaming, except for small diameters, such as 1⁄32 “, which should have 0.003 ” to 0.006 ” of material for reaming, Lynberg noted.