Minimally Reamed Intramedullary Nailing in the Treatment of Diaphyseal Fractures of the Lower Limb

Intramedullary nailing has increasingly become the standard surgical technique for treating diaphyseal fractures of long bones. Experimental and clinical studies have shown that reaming stimulates bone healing and promotes earlier fracture consolidation without significantly increasing the risk of local or systemic complications. However, its negative impact on endosteal blood flow is well-documented. Minimally reamed nailing offers a promising alternative, preserving the osteogenic benefits of reaming while minimizing its harmful effects on endosteal circulation. This study presents a series of 140 cases of patients with diaphyseal fractures of the lower limbs, all treated with minimally reamed intramedullary nailing.