Surgical techniques: how I do it? The Reamer/Irrigator/Aspirator (RIA) System

Giannoudis, Peter V.; Tzioupis, C.; Green, J.

doi:10.1016/j.injury.2009.07.070

Cited by 85 publications

(60 citation statements)

References 43 publications

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“…Irrigation fluid, marrow contents and bony-fragments are aspirated and passed via a coarse filter, which traps the solid bone-fragments, before moving into a closed suction bag. Technical guidance has been previously published [3] and a schematic overview is shown in Fig. 1.…”

Section: Introductionmentioning

confidence: 99%

Reamer-irrigator-aspirator indications and clinical results: a systematic review

Cox

Jones

McGonagle

et al. 2011

International Orthopaedics (SICOT)

126

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Background The 'reamer-irrigator-aspirator' (RIA) is an innovation developed to reduce fat embolism (FE) and thermal necrosis (TN) that can occur during reaming/ nailing of long-bone fractures. Since its inception its indications have expanded to include the treatment of long-bone osteomyelitis and as a harvester of bone graft/ mesenchymal stem cells (MSCs). Methods This study involved a systematic review, via Pubmed® and Google Scholar®, of English language sources (nine non-clinical studies, seven clinical studies and seven case reports) using the keywords: 'reamer', 'irrigator', 'aspirator' (1st May 2010). Sources were reviewed with reference to the RIAs efficacy in (1) preventing FE/TN, (2) treating long-bone osteomyelitis, (3) harvesting bone graft/MSCs, and (4) operating safely. Experimental data supports the use of the RIA in preventing FE and TN, however, there is a paucity of clinical data. Conclusions The RIA is a reliable method in achieving high volumes of bone graft/MSCs, and high union rates are reported when using RIA bone-fragments to treat nonunions. Evidence suggests possible effectiveness in treating long-bone osteomyelitis. The RIA appears relatively safe, with a low rate of morbidity provided a meticulous technique is used. When complications occur they respond well to conventional techniques. The RIA demands further investigation especially with respect to the optimal application of MSCs for bone repair strategies.

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Section: Introductionmentioning

confidence: 99%

Reamer-irrigator-aspirator indications and clinical results: a systematic review

Cox

Jones

McGonagle

et al. 2011

International Orthopaedics (SICOT)

126

View full text Add to dashboard Cite

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“…Although it is advantageous compared to standard iliac crest graft harvesting in terms of graft volume, donor side morbidity and possibly quality of graft [1,3,7], it is not without complications. Previous studies have highlighted the possibility of fractures and cortical breaching [1,2,[4][5][6]. Although the possibility of significant blood loss has also been mentioned in the majority …”

Section: Discussionmentioning

confidence: 99%

“…Several advantages of RIA, compared to graft harvesting from the iliac crest, have been reported: reduced postoperative pain, minimal donor site morbidity and larger volume of autologous bone graft [3,4]. However, the RIA is not without complications: amongst others, the possibility of considerable blood loss has also been mentioned [1,2,[4][5][6].…”

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confidence: 99%

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Massive Blood Loss during Graft Harvesting with the Reamer Irrigator-Aspirator

Nabergoj¹,

Giotikas²,

KrkovicMatija³

2016

MOJOR

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“…Hard Tissue will be also oriented towards the educational needs of postgraduates of dentistry, medicine and surgery and of related healthcare sciences by presenting the disorder in the context of the current knowledge of human pathophysiology and of clinical practice 29,36,37,52,53 .…”

Section: Trainingmentioning

confidence: 99%