Billow Damien, Khlopas Anton, Chughtai Morad, Saleh Anas, Siqueira Marcelo B, Marinello Patrick, Mont Michael A
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
Surg Technol Int. 2016 Oct 26;29:287-294.
The reamer-irrigator-aspirator (RIA) system has been recently developed to decrease the incidence of osseous thermal necrosis and fat embolism associated with intramedullary reaming of long bones in trauma cases. This is achieved by continuous irrigation and suction. Recently, the use of RIA has been expanded to harvest bone graft and debride the medullary canal of long bones in cases of osteomyelitis and intramedullary tumors. Additionally, the collection system of this device has been utilized for its ability to capture bone graft and marrow aspirate. The purpose of this study is to report a comprehensive literature review on the: 1) use of RIA for canal reaming prior to intramedullary nailing; 2) use of RIA for the treatment of intramedullary osteomyelitis of long bones; 3) use of RIA for bone graft harvesting; 4) osteogenic potential of the RIA aspirate; and 5) future applications of the RIA system.
扩髓-冲洗-吸引（RIA）系统最近已被研发出来，以降低创伤病例中与长骨髓内扩髓相关的骨热坏死和脂肪栓塞的发生率。这是通过持续冲洗和吸引来实现的。最近，RIA的应用范围已扩大到在骨髓炎和髓内肿瘤病例中采集骨移植材料和清理长骨的髓腔。此外，该设备的收集系统因其能够采集骨移植材料和骨髓抽吸物而得到利用。本研究的目的是报告一项关于以下方面的全面文献综述：1）在髓内钉固定之前使用RIA进行髓腔扩髓；2）使用RIA治疗长骨的髓内骨髓炎；3）使用RIA采集骨移植材料；4）RIA抽吸物的成骨潜力；以及5）RIA系统的未来应用。
