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Harvest of cortico-cancellous intramedullary femoral bone graft using the reamer-irrigator-aspirator (RIA)
- Source :
- Orthopaedics & Traumatology, Surgery & Research, Vol. 98, No 2 (2012) pp. 227-232
- Publication Year :
- 2012
-
Abstract
- SummaryThe “Reamer-Irrigator-Aspirator” (RIA) is a device that provides continuous irrigation and aspiration during intramedullary reaming of long bones. The RIA system is first used to collect the reaming material from medullary cavities, a thick paste of finely morselized osseous particles containing significantly elevated levels of stem cells and growth factors as reported by quantitative analyses. The volume of bone graft material available from an adult femur corresponds to the amount of cancellous bone graft obtained from both the anterior and posterior iliac crests. The assembly and technicalities of the RIA system require a training period to prevent any femoral fracture, which appears to be the major RIA-related complication. The elective indications for RIA bone grafting are filling of bone defects in the epiphyseal and metaphyseal regions. Diaphyseal defects may also be managed using the RIA system provided the graft is placed in a constrained system (induced membrane) to prevent dispersion of the graft into the surrounding soft tissues and is aerated with a porous material to promote its revascularization. Other RIA indications include debriding intramedullary infections and reaming for intramedullary nailing of long bone fractures to reduce the risk of fat embolization.
- Subjects :
- medicine.medical_specialty
Medullary cavity
medicine.medical_treatment
Long bone
Stem cells
Bone grafting
law.invention
Intramedullary rod
Fractures, Bone
law
Fracture fixation
medicine
Humans
Orthopedics and Sports Medicine
Femur
Therapeutic Irrigation
Bone regeneration
Non Union Bone graft-reamer-irrigator-aspirator-RIA
Bone Transplantation
ddc:617
business.industry
Equipment Design
Femoral fracture
medicine.disease
Fracture Fixation, Intramedullary
Surgery
Intramedullary reaming
medicine.anatomical_structure
Tissue and Organ Harvesting
business
Cancellous bone
Subjects
Details
- Language :
- English
- ISSN :
- 18770568
- Database :
- OpenAIRE
- Journal :
- Orthopaedics & Traumatology, Surgery & Research, Vol. 98, No 2 (2012) pp. 227-232
- Accession number :
- edsair.doi.dedup.....a0ec060e0c937387224dcd49f7f9c101