Reamer-Irrigator-Aspirator Multiuse Application in the Treatment of Chronic Osteomyelitis.
Reamer–irrigator–aspirator
aspiration
chronic osteomyelitis
intramedullary infection
irrigation
reamer
Journal
Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
18
6
2020
pubmed:
1
1
2019
medline:
1
1
2019
Statut:
ppublish
Résumé
The treatment of chronic intramedullary infection of the long bones relies on microbe-specific antibiotics in conjunction with surgical removal of infected necrotic material. We discuss the use of reamer-irrigator-aspirator(RIA) for debridement of the intramedullary canal instead of conventional reaming techniques. This is the first case report to explore the use of RIA for osteomyelitis. We discuss the use of the RIA in treatment of a 26-year-old female presenting with chronic osteomyelitis of the left distal femoral shaft. She had normalization of infection laboratories at 6 weeks and complete resolution of symptoms at 3 months and was released at 6 months. Recent exploration of the RIA system's (Synthes®, Inc. West Chester, Philadelphia) multipurpose applications has indicated use in long bone debridement. While further exploration and high-quality studies are needed to make robust claims of efficacy, we believe that the use of RIA in the context of chronic osteomyelitis is a superior alternative to conventional reaming techniques.
Identifiants
pubmed: 32548003
doi: 10.13107/jocr.2250-0685.1528
pii: JOCR-9-47
pmc: PMC7276632
doi:
Types de publication
Case Reports
Langues
eng
Pagination
47-50Informations de copyright
Copyright: © Indian Orthopaedic Research Group.
Déclaration de conflit d'intérêts
Conflict of Interest: Nil
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