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

Based on the current evidence, there is no diff erence in infection rates following IM fi xation of long bone fractures using a reamed or non-reamed technique. Using an IM fi xation technique has become the accepted standard in treating long bone fractures. Tibial fractures are the most common type of long bone fracture encountered and therefore are the most studied in the current literature.