Donor site morbidity with reamer-irrigator-aspirator (RIA) use for autogenous bone graft harvesting in a single centre 204 case series
| Autor: | Mark J. Anders, Cathy M. Buyea, Christopher A. Ritter, Lars M. Qvick, Bernhard J. Rohrbacher, Christopher E. Mutty |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Femoral nail Bone Nails Transplantation Autologous law.invention Intramedullary rod Postoperative Complications law medicine Humans Trauma centre Femur Tibia Therapeutic Irrigation Aged Retrospective Studies General Environmental Science Aged 80 and over Bone Transplantation business.industry Autogenous bone graft Middle Aged Surgery Single centre Treatment Outcome Reamer irrigator aspirator Tissue and Organ Harvesting General Earth and Planetary Sciences Female business |
| Zdroj: | Injury. 44:1263-1269 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2013.06.008 |
| Popis: | Donor site morbidity and complication rate using the reamer-irrigator-aspirator (RIA) system for intramedullary, non-structural autogenous bone graft harvesting were investigated in a retrospective chart and radiographic review at a University affiliated Level-1 Trauma Centre. 204 RIA procedures in 184 patients were performed between 1/1/2007 and 12/31/2010. RIA-indication was bone graft harvesting in 201 (98.5%), and intramedullary irrigation and debridement in 3 (1.5%) cases. Donor sites were: femur – antegrade 175, retrograde 4, tibia – antegrade 7, retrograde 18. Sixteen patients had undergone two RIA procedures, two had undergone three procedures, all using different donor sites. In 4 cases, same bone harvesting was done twice. Mean volume of bone graft harvested was 47 ± 22 ml (20–85 ml). The complication rate was 1.96% (N = 4). Operative revisions included 2 retrograde femoral nails for supracondylar femur fractures 6 and 41 days postoperatively (antegrade femoral RIA), 1 trochanteric entry femoral nail (subtrochanteric fracture) 17 days postoperatively (retrograde femoral RIA) and 1 prophylactic stabilization with a trochanteric entry femoral nail for intraoperative posterior femoral cortex penetration without fracture. In our centre, the RIA technique has a low donor site morbidity and has been successfully implemented for harvesting large volumes of nonstructural autogenous bone graft. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect