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The purpose of the present study was to evaluate the Reamer/Irrigator/Aspirator (RIA), a reaming system designed to incorporate the advantages of irrigation and suction for every day clinical use. The evaluation process was focused on the displacement of the medullary content and its impact on cortical perfusion. The results of the RIA reamed nailing were compared to conventional non-reamed nailing...
To compare systemic fat extravasation in unreamed and experimentally reamed nailing.An osteotomy was created in the proximal third of the femoral shaft in 16 sheep, and intramedullary pressure increase and fat extravasation were monitored for the two nailing techniques.The highest intramedullary pressures, median 2700mmHg, and highest percentages of fat extravasation, peaking at almost 90% of fat,...
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