Reaming for intramedullary implants has biomechanical and biologic benefits. However, there are multiple potential pitfalls in the reaming process. Common errors in reaming for intramedullary implants include: over-reaming or under-reaming the intramedullary canal, reamer incarceration, using dull or narrow-fluted reamers, and poor technique. Being aware of these potential problems with reaming helps surgeons avoid intraoperative issues altogether or diagnose their causes as they arise, decrease complications, and improve efficiency in the operating room.
Helmig, Kathryn C.; Samer Kakish; and Thomas A. DeCoster. "Reaming Errors in Intramedullary Nailing." Western Journal of Orthopaedics 11, 1 (2022). https://digitalrepository.unm.edu/wjo/vol11/iss1/17