Thermal necrosis after tibial reaming for intramedullary nail fixation. A

report of three cases.

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Leunig M. Hertel R. Journal of Bone & Joint Surgery - British Volume. 78(4):584-7, 1996 Jul. We present three young men who sustained closed diaphyseal fracture of the tibia and later developed severe osteocutaneous necrosis induced by heat during intramedullary reaming. They all had a narrow medullary cavity and in all a tourniquet had been used. Each developed a pretibial cutaneous blister soon after operation. In the following month severe osteomyelitis ensued, requiring segmental resection and osteocutaneous reconstruction.