扩髓冲洗吸引器与传统髂嵴取骨术的疗效和并发症比较：系统评价和荟萃分析。
Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis.
机构信息
Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084, Baronissi, Italy.
Clinica Ortopedica, Ospedale San Giovanni di Dio e Ruggi d'Aragona, 84131, Salerno, Italy.
出版信息
J Orthop Traumatol. 2021 Dec 1;22(1):50. doi: 10.1186/s10195-021-00612-9.
BACKGROUND
The reamer irrigator aspirator (RIA) is a relatively recent device that is placed in the medullary canal of long bones to harvest a large volume of bone marrow, which is collected in a filtered canister. This study compares outcomes and complications of the RIA versus a traditional iliac crest bone graft (ICBG) for the treatment of bone defects.
METHODS
This meta-analysis was conducted according to the PRISMA guidelines. The Embase, Google Scholar, PubMed, and Scopus databases were accessed in June 2021. All clinical trials comparing the RIA and ICBG with a minimum of 6 months follow-up were included.
RESULTS
Data from 4819 patients were collected. The RIA group demonstrated lower site pain (P < 0.0001), fewer infections (P = 0.001), and a lower rate of adverse events (P < 0.0001). The ICBG group demonstrated a greater rate of bone union (P < 0.0001). There was no difference between groups in VAS (P = 0.09) and mean time to union (P = 0.06).
CONCLUSION
The current evidence supports the use of the RIA, given its low morbidity and short learning curve.
背景
扩髓冲洗吸引器（RIA）是一种相对较新的装置，放置在长骨的髓腔内以收获大量骨髓，这些骨髓被收集在一个过滤罐中。本研究比较了 RIA 与传统髂嵴骨移植物（ICBG）治疗骨缺损的结果和并发症。
方法
本荟萃分析按照 PRISMA 指南进行。于 2021 年 6 月检索了 Embase、Google Scholar、PubMed 和 Scopus 数据库。纳入了所有比较 RIA 和 ICBG 的临床试验，随访时间至少为 6 个月。
结果
共收集了 4819 名患者的数据。RIA 组的部位疼痛较低（P < 0.0001）、感染较少（P = 0.001）和不良事件发生率较低（P < 0.0001）。ICBG 组的骨愈合率较高（P < 0.0001）。两组之间在 VAS（P = 0.09）和平均愈合时间（P = 0.06）方面没有差异。
结论
鉴于 RIA 具有较低的发病率和较短的学习曲线，目前的证据支持使用 RIA。
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