Operative Techniques in Orthopaedics
Volume 18, Issue 2 , Pages 108-113 , April 2008

Reamer Irrigator Aspirator: A New Technique for Bone Graft Harvesting from the Intramedullary Canal

  • Hans-Christoph Pape, MD, FACS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Hans-Christoph Pape, MD, FACS, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Pittsburgh, PA 15213
    • ,
  • Ivan S. Tarkin, MD

References 

  1. Kobbe P, Tarkin IS, Pape HC. Use of the ‘reamer irrigator aspirator’ system for non-infected tibial non-union after failed iliac crest grafting. Injury. 2008;39:796–800
  2. Kobbe P, Tarkin IS, Frink M, et al. Voluminous bone graft harvesting of the femoral marrow cavity for autologous transplantation: An indication for the “Reamer-Irrigator-Aspirator-” (RIA-) technique [in German]. Unfallchirurg. 2008;111:469–472
  3. Newman JT, Stahel PF, Smith WR, et al. A new minimally invasive technique for large volume bone graft harvest for treatment of fracture nonunions. Orthopedics. 2008;31:257–261
  4. Wildemann B, Kadow-Romacker A, Haas NP, et al. Quantification of various growth factors in different demineralized bone matrix preparations. J Biomed Mater Res A. 2007;81:437–442
  5. Mousavi M, David R, Ehteshami J, et al. Pressure changes during reaming with different parameters and reamer designs. Clin Orthop Rel Res. 2000;373:295–303
  6. Ehmke LW, Polzin BM, Madey SM, et al. Femoral nailing through the trochanter: The reamer pathway indicates a helical nail shape. J Orthop Trauma. 2006;20:668–674
  7. Coleman WP. When one liter does not equal 1000 milliliters: Implications for the tumescent technique. Dermatol Surg. 2000;26:1024–1028
  8. Strand RM, Mølster AO, Engesaeter LB, et al. Mechanical effects of different localization of the point of entry in femoral nailing. Arch Orthop Trauma Surg. 1998;117:35–38
  9. Küntscher G. Practice of Intramedullary Nailing. Springfield, IL: Charles C. Thomas, Publisher; 1967;
  10. Higgins TF, Casey V, Bachus K. Cortical heat generation using an irrigating/aspirating single-pass reaming vs conventional stepwise reaming. J Orthop Trauma. 2007;21:192–197
  11. Schmidmaier G, Herrmann S, Green J, et al. Quantitative assessment of growth factors in reaming aspirate, iliac crest, and platelet preparation. Bone. 2006;39:1156–1163

PII: S1048-6666(08)00010-4

doi: 10.1053/j.oto.2008.08.001

Operative Techniques in Orthopaedics
Volume 18, Issue 2 , Pages 108-113 , April 2008

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