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Intramedullary Reaming and Compartment Pressure

Summary: Reaming of long-bone fractures has caused some controversy as to whether the reaming or intramedullary nailing causes acute compartment syndrome. Reaming itself causes a transient rise in compartment pressure that is not maintained postoperatively. Acute compartment syndrome can, however, be precipitated by maneuvers common to all methods of fracture treatment, such as traction and reduction.