Comparison of Mechanical Loads Produced by Current Intramedullary Reamer Systems

Journal of Orthopaedic Trauma

Volumn 12, Issue 8, 1998, Pages 531-539

  Peindl, Richard D ^a   Harrow, Matthew E ^a   Banks, David M ^a   Bosse, Michael J ^a   Kellam, James F ^a  

^a CAROLINAS MEDICAL CENTER   (United States)

Author keywords

Biomechanical study; Intramedullary nailing; Intramedullary reaming; Loads; Torques

Indexed keywords

ARTICLE; BIOMECHANICS; COMPARATIVE STUDY; EQUIPMENT DESIGN; HUMAN; INSTRUMENTATION; INTRAMEDULLARY NAILING; TORSION;

BIOMECHANICS; EQUIPMENT DESIGN; FRACTURE FIXATION, INTRAMEDULLARY; HUMANS; TORSION;

EID: 0032196505     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005131-199811000-00001     Document Type: Article

References (25)

1. Bone LB, Johnson KD, Weigelt J, Scheinberg R. Early versus delayed stabilization of fractures. J Bone Joint Surg 1989;71A: 336-339.
2. Charash WE, Fabian TC, Croce MA. Delayed surgical fixation of femur fractures is a risk factor for pulmonary failure independent of thoracic trauma. J Trauma 1994;37:667-672.
3. Heim D, Schlegel U, Perren SM. Intramedullary pressure in reamed and unreamed nailing of the femur and tibia. Injury 1993;24(Suppl 3):56-63.
4. Higdon A, Ohlsen EH, Stiles WB, Welse JA. Mechanics of Materials. New York, John Wiley & Sons, 1967.
5. Johnson KD, Cadambi A, Seibert GB. Incidence of adult respiratory distress syndrome in patients with multiple musculoskeletal injuries: effect of early operative stabilization of fractures. J Trauma 1985;25(5):375-384.
6. LeGrand HA, ed. The New American Machinists Handbook. New York, McGraw-Hill Publisher, 1983.
7. Lhowe DW, Hansen ST. Immediate nailing of fractures of the femoral shaft. J Bone Joint Surg 1988;70A:812-816.
8. Lozman J, Deno DC, Feustel PJ, et al. Pulmonary and cardiovascular consequences of immediate fixation or conservative management of long-bone fractures. Arch Surg 1986;121:992-999.
9. Müller C, McIff T, Rahn BA, Pfister U, Perren SM, Weller S. Influence of the compression force on the intramedullary pressure development in reaming of the femoral medullary cavity. Injury 1993; 24(Suppl 3):36-39.
10. Müller C, Frigg R, Pfister U. Effect of flexible drive diameter and reamer design on the increase of pressure in the medullary cavity during reaming. Injury 1993;24(Suppl 3):40-47.
11. Müller C, McIff T, Rahn BA, Pfister U, Weller S. Intramedullary pressure, strain on the diaphysis and increase in cortical temperature when reaming the femoral medullary cavity - a comparison of blunt and sharp reamers. Injury 1993;24(Suppl 3):22-30.
12. Müller CA, Baumgart F, Rahn BA, Perren SM, Pfister U. The effect of RPM on intramedullary pressure changes and the size of bone particles in reaming of the femoral cavity. Proceedings of the 43rd Annual Meeting of Orthopaedic Research Society, San Francisco, CA, 1997, abstract 906.
13. Olerud S. The Science and Practice of Intramedullary Nailing. Philadelphia, Lea and Febiger, 1987.
14. Pape H, Grotz M, Regel G, Tscherne H. Pulmonary dysfunction after reamed intramedullary femoral nailing in sheep: influence of different reamer systems. Proceedings of the 61st Annual American Academy of Orthopaedic Surgeons, New Orleans, LA, 1994, p 470, abstract D74.
15. Pape HC, Dwenger A, Grotz M, et al. Does the reamer type influence the degree of lung dysfunction after femoral nailing following severe trauma? an animal study. J Orthop Trauma 1994;8:300-309.
16. Pell ACH, Christie J, Keating JF, Sutherland GR. The detection of fat embolism by transoesophageal echocardiography during reamed intramedullary nailing. J Bone Joint Surg [Br] 1993;75:921-925.
17. Peter RE, Selz T, Koestli A. Influence of reamer shape on intraosseous pressure during intramedullary nailing of the unbroken femur. Injury 1993;24(Suppl 3):48-55.
18. Riska EB, von Bonsdorff H, Hakkinen S, Jaroma H, Kiviluoto O, Paavilainen T. Primary operative fixation of long bone fractures in patients with multiple injuries. J Trauma 1977;17:111-121.
19. Strecker W, Gonschorek O, Fleishmann W, Bruckner U, Beyer M, Kinzl L. Thromboxane - co-factor of pulmonary disturbance in intramedullary nailing. Injury 1993;24(Suppl 3):68-72.
20. Stürmer KM, Tammen ET. Verminderdung der corticalen Gefasschadigung durch kontinuierliches Spulen und absaugen Wahrend des Aufbohrens der Mrkhonle. Hefte Unfallheilkunde 1988;181: 236-240.
21. Stürmer KM. Measurement of intramedullary pressure in an animal experiment and propositions to reduce the pressure increase. Injury 1993;24(Suppl 3):8-23.
22. Talucci RC, Manning J, Lampard S, Bach A, Carrico CJ. Early intramedullary nailing of femoral shaft fractures: a cause of fat embolism syndrome. Am J Surg 1983;146:107-111.
23. Townsend PR, Rose RM, Radin EL. Buckling studies of single human trabeculae. J Biomechanics 1975;8:199-201.
24. Wenda K, Runkel M, DeGreif J, Ritter G. Pathogenesis and clinical relevance of bone marrow embolism in femoral nailing - demonstrated by intraoperative echocardiography. Injury 1993;24(Suppl 3):73-81.
25. Winquist R, Bogosian A. Relationship of intramedullary reamer design to intramedullary pressure and fat embolism. Proceedings of the 61st Annual American Academy of Orthopaedic Surgeons, New Orleans, LA, 1994, p 135, abstract 160.