In the last 10 years, traumatologists have become more aware of the importa
nce of blood supply to fracture fragments for both the healing of fractures
and prevention of infection. Due to our experience with fractures having s
everely disrupted periosteal blood supply, we are looking more critically a
t intramedullary reamed nailing as a treatment option. This research was a
result of our increased knowledge of the interplay between periosteal and e
ndosteal blood supply.