Cuttica Daniel J, DeVries J George, Hyer Christopher F
Orthopedic Foot & Ankle Center, Westerville, OH 43082, USA.
J Foot Ankle Surg. 2010 Nov-Dec;49(6):571-4. doi: 10.1053/j.jfas.2010.08.003. Epub 2010 Sep 18.
Tibiotalocalcaneal arthrodesis is a technically demanding procedure that can be associated with a high number of complications, including nonunion. Bone grafting is commonly used in arthrodesis procedures to decrease the risk of nonunion. In this article, we describe a technique that uses a reamer-irrigator-aspirator (RIA) method for procurement of autogenous bone graft for use in tibiotalocalcaneal arthrodesis fixated with a retrograde intramedullary nail. Using the RIA technique, autogenous bone graft can be readily obtained without the need for additional incisions and dissection, thereby minimizing the need for additional sources of bone graft.
胫距跟关节融合术是一项技术要求较高的手术，可能会伴有大量并发症，包括骨不连。在关节融合手术中，通常会使用骨移植来降低骨不连的风险。在本文中，我们描述了一种技术，该技术使用铰孔冲洗吸引器（RIA）方法获取自体骨移植材料，用于逆行髓内钉固定的胫距跟关节融合术。使用RIA技术，可以轻松获得自体骨移植材料，而无需额外的切口和解剖，从而将对额外骨移植来源的需求降至最低。
