[Intramedullary pressure development and its sequelae in intramedullary nailing].

Abstract

High pressure exceeding 1000 mm Hg are measured during reaming of the narrow cavity with ASIF instruments after osteotomy of the sheep's tibia. Histologic evaluation 8 weeks after intramedullary nailing shows obliteration of the canalis a. nutritiae and smaller cortical vessels with fat and bone particles. The internal circumference of the cortex remains nonvital. Revascularization and bone remodeling is proceeding in a mainly centripetal direction.