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Submitted: 02 December 2014 Modified: 24 September 2015
HERDIN Record #: R07-CVHRDC-14120207420928

A comparatives study on reamed versus unreamed femoral nails in Vicente Sotto Memorial Medical Center.

Phillipe Y. BAclig

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  Our results suggest that reaming aids fracture healing. We therefore recommend the use of reamed nail, with an implant diameter chosen according to the weight of the patient, the degree of comminution and the diameter of the intramedullary canal.


Publication Type
Research Report


General:  To compare the results of reamed nails versus unreamed nails in femoral fractures.


Specific: This study will seek to:

            1. Identify the different complications of reamed versus unreamed nails

              a. Union rate

              b. Incidence of implant failure


           2. Know if newer generation nails has effect on fracture healing.

LocationLocation CodeAvailable FormatAvailability
Vicente Sotto Memorial Medical Center Fulltext Print Format
1. Pape HC, , Waller S, , Sturmer KM, . "Pathophysiology of intramedullary nailing. Injury" 24(3): 1-103, 1993
2. Kessler SB, , Hallfeldt KKJ, , Perren SM, , Schweibber L., . "The effects of reamiang and intramedullary nailing on fracture healing." ClinOrthop 212, 18-25, 1986
3. Olerud SB,, , Stromberg L., . "Intramedullary reaming and nailing; it early effects on cortical bone vacularization." Orthopedics 9, 1204-1208, 1986
4. Zardiackas LD, , Disegi J, , Givan, D. Torional. "Properties of implant grade titanium" J Biomed Mater Res 25, 281-93, 1991
5. Winquist RA, , Hansen ST Jr., . "Comminuted fractures of the femoral shaft treated by intramedullary nailing." Orthop Clin North Am 11, 633-48, 1980
6. Schemitsch EH, , Kowalski MJ, , Swiontkwski MF, , Senft, D. . "Cortical bone blood flow in reamed and unreamed locked intramedullary nailing: a fractured tibia model in sheep" J Orthop Trauma 8, 372-82, 1994
7. Franklin JL, , Winquist RA, , Benirschkle Sk, , Hansen ST Jr., . "Broken intramedullary nails" JBJS (Am) 70(1463-71): 1988

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