Retrograde Femoral Bone Graft Acquisition Using the Reamer–Irrigator–Aspirator

Taylor, Benjamin C.; Triplet, Jacob J.; Johnson, David; Sharpe, B. Dale; Sullivan, Brian D.; Canini, Cameron

doi:10.1615/jlongtermeffmedimplants.2018027914

Cited by 3 publications

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“…Liu et al have reported the application of the hollow trephine for harvesting bone graft during the antegrade femoral nail procedure [ 5 ]. Several authors have also reported the use of RIA for retrograde femoral bone graft acquisition [ 18 , 19 ]. Cepni et al have used a manual trepan for reaming, which is a laborious process.…”

Section: Discussionmentioning

confidence: 99%

The application of a hollow trephine in femoral retrograde intramedullary nailing technique

Yao

Liu

et al. 2023

BMC Musculoskelet Disord

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Purpose The purpose of this study was to describe and evaluate the use of a specially designed hollow trephine to create the entry point through the femoral condyle during retrograde interlocking intramedullary nailing for femoral fractures. Methods From June 2019 to December 2021, we treated 11 patients (5 men, 6 women; mean age, 64 years; age range 40–77 years) with mid-distal femoral fractures by retrograde intramedullary femoral nailing using a self-designed hollow trephine for femoral condyle reaming and cancellous bone harvesting. The mode of all the nails is static. Patients were followed up at 1, 4, 8, and 12 weeks and for at least 6 months after surgery. The healing process and heterotopic ossification were evaluated by imaging. Partial weight bearing was permitted during the recovery period and complete weight bearing was permitted after clinical healing of the fracture displayed by X-ray. Results The operation was successful in all patients. Over mean follow-up of 9.3 months (range, 6.0–12.0 months), all patients achieved clinical healing within three months. There were no complications such as knee joint infection, heterotopic ossification, knee joint adhesion and wedge effect. Conclusion The use of the hollow trephine during femoral retrograde intramedullary nailing helps avoid postoperative complications such as heterotopic ossification, knee joint adhesions, and wedge effect. It also facilitates bone graft harvesting.

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Section: Discussionmentioning

confidence: 99%

The application of a hollow trephine in femoral retrograde intramedullary nailing technique

Yao

Liu

et al. 2023

BMC Musculoskelet Disord

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“…No superficial or deep hematoma, infection or adipose embolism have been documented following the use of RIA ( Table 1 ) [ 100 ]. In addition, lower overall pain scores have been reported in patients undergoing femoral RIA harvesting [ 32 , 101 ]. According to Stafford et al [ 102 ], RIA produced no intraoperative or postoperative complications.…”

Section: Complicationsmentioning

confidence: 99%

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

Migliorini

Cuozzo

Torsiello

et al. 2021

JCM

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Autologous bone grafting is common in trauma and orthopaedic surgery. Both the Reamer Irrigator Aspirator (RIA) and Iliac Crest Bone Graft (ICBG) aim to obtain autologous bone graft. Although the process of harvesting a bone graft is considered simple, complications may occur. This study examined morbidity and pain at the donor site, blood loss, and iatrogenic fractures, comparing RIA and ICBG. The source of the autologous bone graft, the alternative graft sites, and the storage modalities of the harvested bone marrow were also evaluated. In May 2021, PubMed, Embase, Scopus, and Google Scholar were accessed, with no time constraints. RIA may produce greater blood loss, but with less morbidity and complications, making it a potential alternative source of bone grafting.

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The application of hollow trephine in femoral retrograde intramedullary nailing technique

Yao

Liu

et al. 2022

Preprint

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Purpose The purpose of this study was to describe and evaluate the use of a specially designed hollow trephine to create the entry point through the femoral condyle during retrograde interlocking intramedullary nailing for femoral fracture. Methods From June 2019 to December 2021, we treated 11 patients (5 men, 6 women; mean age, 64 years; age range 40–77 years) with mid-distal femoral fractures by retrograde intramedullary femoral nailing using a self-designed hollow trephine for femoral condyle reaming and cancellous bone harvesting. Results The operation was successful in all patients. Over mean follow-up of 9.3 months (range, 6.0–12.0 months), all patients achieved bone union. There were no complications such as knee joint infection, heterotopic ossification, knee joint adhesion, and wedge effect. Conclusion The use of the hollow trephine during femoral retrograde intramedullary nailing helps avoid postoperative complications such as heterotopic ossification, knee joint adhesions, and wedge effect. It also facilitates bone graft harvesting.

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Retrograde Femoral Bone Graft Acquisition Using the Reamer–Irrigator–Aspirator

Cited by 3 publications

References 0 publications

The application of a hollow trephine in femoral retrograde intramedullary nailing technique

The application of a hollow trephine in femoral retrograde intramedullary nailing technique

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

The application of hollow trephine in femoral retrograde intramedullary nailing technique

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