Pitfalls: eccentric and overaggressive reaming
Eccentric reaming can cause weakening of the adjacent cortex, which may
interfere with healing, or even cause a fatigue fracture.
Trapping of reamer by slow spinning
If the reamer gets trapped while reaming, it must be gently removed by the most
senior surgeon because breakage of the reamer tip in this situation can be a
Heat necrosis by over-forceful reaming
Reaming with excessive force should be avoided because it is likely to
cause heat necrosis of the femoral cortex. This applies especially for narrow
midshaft canals (9 mm or less in diameter).