The use of Reamer–irrigator–aspirator in the management of long bone osteomyelitis: an updateReportar como inadecuado




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European Journal of Trauma and Emergency Surgery

, Volume 42, Issue 4, pp 417–423

First Online: 11 July 2016Received: 22 February 2016Accepted: 17 June 2016

Abstract

PurposeReamer–irrigator–aspirator RIA is an innovative device that its indications have recently been expanded to the management of long bone infections.

MethodsIn 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.

ResultsThe 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.

ConclusionsThe 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.

KeywordsOsteomyelitis Infection Long bones Panmedullary sepsis Reamer–irrigator–aspirator RIA Reaming  Download fulltext PDF



Autor: T. H. Tosounidis - G. M. Calori - P. V. Giannoudis

Fuente: https://link.springer.com/







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