The Pros and Cons of an Antegraded Intermendulary Nail

Ream nailing has been associated with higher union rates compared to un ream nailing. Reaming disrupts the endastial blood supply, but stimulates the soft tissue and periastialBlood supply after fracture. Ming extrudes the medullary contents into the fracture site - this is technically autoligous bone grafting. Post operative care includes weight bearing tolerated as much as possible.