Femoral shaft fractures Reamed versus unreamed intramedullary nailing / 中华创伤骨科杂志

ABSTRACT

It appears that unreamed nailing is significantly faster (operative time) with less blood loss compared with unreamed nailing in the treatment of femoral shaft fractures; however, reamed nailing contributes to faster union times and fewer delayed unions. Neither appears to significantly increase the risk of other complications including pulmonary compromise. Functional outcomes cannot be determined.