Tosounidis, TH, Calori, GM and Giannoudis, PV (2016) The use of Reamer–irrigator–aspirator in the management of long bone osteomyelitis: an update. European Journal of Trauma and Emergency Surgery, 42 (4). pp. 417-423. ISSN 1863-9933
Abstract
Purpose: Reamer–irrigator–aspirator (RIA) is an innovative device that its indications have recently been expanded to the management of long bone infections. Methods: In this narrative review, we summarise the most important studies in the field and we present the current open questions pertaining to the use of RIA in the management of osteomyelitis of long bones. Results: The relevant literature is sparse and low quality. Nevertheless, the use of RIA for infected cases has yielded promising outcomes in specialised centres. Technical aspects that merit special attention in osteomyelitis of long bones are its inapplicability in small diameter long bones, the inadequate debridement of wide metaphyseal areas and the potential bleeding sequelae. The use of RIA in open fracture management to reduce infection risk has not gained acceptance. The antibiotic impregnated nails and rods constitute a complimentary strategy for the management of infections. Conclusions: The use of RIA for the management of long bone infections is an innovative and promising strategy. High quality studies are needed to shed light in its efficacy compared to conventional methods of management of osteomyelitis of long bones.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
Keywords: | Osteomyelitis; Infection; Long bones; Panmedullary sepsis; Reamer–irrigator–aspirator; RIA; Reaming |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Orthopaedics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 02 Dec 2016 14:28 |
Last Modified: | 05 Oct 2017 16:27 |
Published Version: | http://doi.org/10.1007/s00068-016-0700-7 |
Status: | Published |
Publisher: | Springer Verlag |
Identification Number: | 10.1007/s00068-016-0700-7 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:108866 |