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9Reaming

Rapid thrusting/systemic fat embolization
Care should be taken only to use sharp reamers, to advance the reamers slowly and to allow sufficient time between reaming steps for the intramedullary pressure to normalize. Rapid thrusting of the reamer may increase further the intramedullary pressure. The image demonstrates fat extrusion during reaming in a human cadaver specimen with a window in the proximal section.