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Orthopaedic

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General Consideration

Question
49 out of 64
 

Reaming of the marrow space is one of the important action prior to interamedullary nailing. The action of reaming is supposed to pose a number of complication which include all of the following except



A Thermal damage

B Marrow embolisation

C Joint stiffness

D Decrease in the torisonal strength of the bones

Ans. C

Joint stiffness

a. Elevation of interamedullary pressures and thermal damage caused by reaming can be minimized by using sharp reamers with deep cutting flutes and by using minimal force during the reaming procedure.

b. In addition to marrow embolisation reaming also causes damage to the endosteum and decreases the torsional strength of the bone fragments.

c. Joints stiffness is not a known complication of the reaming process.

General Consideration Flashcard List

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