What Is Reaming In Orthopedics?

What is intramedullary reaming?

Abstract. 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 does reaming a bone mean?

Reaming is done to enlarge the medullary canal of bone which is narrowest at isthmus and can accommodate nail of the size there if not reamed, but as the thicker the diameter of nail better it is, so surgeons prefer to introduce thicker nail (i.e. size 11, 12 in femur or 10,11 in tibia etc) by manual or power reaming.

What is reamed nailing?

Reamed intramedullary nailing (RIN) is considered the standard method of treatment for femoral fractures. [25] The advantages of RIN include higher biomechanical stability, rapid fracture healing, and lower frequency of secondary procedure.

What does an acetabular reamer do?

Acetabular reaming A useful tip is to use an acetabular reamer which is the same size as the femoral head as a sizer of the acetabular component prior to reaming. In a dysplastic hip, the reamer will sit proud of the TAL when orientated parallel to the TAL and residual posterior labrum.

What is the purpose of reaming?

Reamer, rotary cutting tool of cylindrical or conical shape used for enlarging and finishing to accurate dimensions holes that have been drilled, bored, or cored. A reamer cannot be used to originate a hole.

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What does intramedullary mean?

Medical Definition of intramedullary: situated or occurring within a medulla an intramedullary tumor of the spinal cord especially: involving use of the marrow space of a bone for support intramedullary pinning of a fracture of the thigh.

What is reaming in surgery?

Rotational cutting tools, known as reamers, are used in a variety of orthopaedic surgeries ranging from intramedullary nailing of long bone fractures to total joint arthroplasty.

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.

What is a Cephalomedullary nail?

The Cephalomedullary Nail was designed to help treat fractures of the femur, especially intertrochanteric and subtrochanteric fractures. A lag screw is placed through the nail into the femoral head to secure the nail in place proximally and help control the different segments of the bone while healing occurs.

What is tibial nail surgery?

Background. Intramedullary nail fixation remains the treatment of choice for unstable and displaced tibial shaft fractures in the adult [1]. The goals of surgical treatment are to achieve osseous union and to restore length, alignment, and rotation of the fractured tibia.

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