Dear Seyed

I hope these articles may be useful for you

1) The biology of intramedullary reaming.

Pfeifer R1, Sellei R, Pape HC.

J Bone Joint Surg Br. 2007 Nov;89(11):1421-6.

2) The biological and physiological effects of intramedullary reaming.

Pape HC1, Giannoudis P.

Beijing Da Xue Xue Bao. 2013 Oct 18;45(5):738-41.

3) Analysis of the blood loss in perioperative period of femoral intertrochanteric fractures in old patients treated with different internal fixations].

Hou GJ1, Zhou F, Zhang ZS, Ji HQ, Tian Y.

eijing Da Xue Xue Bao. 2012 Dec 18;44(6):891-4.

4) Clinical analysis of obvious and hidden blood loss in inter-trochanter fracture patients treated with proximal femoral nail anti-rotation and dynamic hip screw].

Zhang PX1, Xue F, An S, Gu HY, Lu H, Xu XD, Fu ZG, Zhang DY, Jiang BG.

Dear nelson

thanks a lot for your valuable answer

kind regards

Dear Seyed

It was a pleasure

Regards

Thanks a lot

Best ragards

Usually, the blood loss is higer when IMN is applied after reaming of the canal. The modern trend is oriented towards avoiding of reaming. Therefore, the blood loss is expected to be decreased. And it really is.

Dear panayot

many thanks for your worthy comments

truly yours

Dear Panayot

many thanks for worthy comments

truly yours