Friction burns within the tibia during reaming

Friction burns within the tibia during reaming. Are they affected by the use of a tourniquet?

We have carried out a prospective, randomised trial to measure the rise of temperature during reaming of the tibia before intramedullary nailing. We studied 34 patients with a mean age of 35.1 years (18 to 63) and mean injury severity score of 10 (9 to 13). The patients were randomised into two groups: group 1 included 18 patients whose procedure was undertaken without a tourniquet and group 2,...

Friction burns to thigh caused by tourniquet.

surgery. It has been found to be a very safe device and the incidence of major complications associated with its use is as low as 1:13,000. Skin damage is a rare complication associated with the use of a pneumatic tourniquet. A few cases of chemical burns have been reported due to the use of alcohol based preparations, but friction burns due to the use of a tourniquet in a healthy person with n...

The effect of intramedullary reaming on a diaphyseal bone defect of the tibia.

BACKGROUND The effect of intramedullary reaming on diaphyseal tibial defects has not been examined in the literature. The present aim was to relate the extent of reaming to angiogenesis and bone formation occurring around a critical-sized defect in the tibia for two scenarios, namely, when the bone defect is left empty and when the bone defect is treated with autograft. METHODS Eleven canines...

Congenital arteriovenous fistula within the tibia.

The acute vascular response to intramedullary reaming. Microsphere estimation of blood flow in the intact ovine tibia.

The tibial nutrient artery supplies 62% of cortical blood flow in the diaphysis and normal blood flow is centrifugal (Willans 1987). Intramedullary reaming destroys the nutrient artery and injures the endosteal surface of the cortex. Trueta (1974) suggested that the direction of blood flow can reverse from centrifugal to centripetal after loss of the endosteal supply. We examined this hypothesi...