When performing intramedullary (IM) fixation, what is the evidence regarding reaming versus non-reaming and the association with infection?

Authors: Mark F. Swiontkowski, Alexander J. Shope

RECOMMENDATION: Based on the current evidence, there is no difference in infection rates following IM fixation of long bone fractures using a reamed or non-reamed technique.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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