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对有缺陷的扩髓-冲洗-吸引器(RIA)扩髓钻头部进行二次髓内金属碎屑清除:一例报告。

Secondary removal of intramedullary metal debris from a defective Reamer-Irrigator-Aspirator (RIA) reamer head: A case report.

作者信息

Vetter Philipp, Hübner Christian, Heining Sandro-Michael, Hierholzer Christian, Pape Hans-Christoph

机构信息

Department of Trauma Surgery, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.

出版信息

Trauma Case Rep. 2024 Sep 14;54:101112. doi: 10.1016/j.tcr.2024.101112. eCollection 2024 Dec.

DOI:10.1016/j.tcr.2024.101112
PMID:39351507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11440285/
Abstract

The Reamer-Irrigator-Aspirator (RIA) device represents a safe and efficient method to harvest autologous bone for grafting. However, hardware failure may occur, for example by breakage of the reamer head with metal debris remaining in the intramedullary canal. This case report describes the uncomplicated secondary removal of femoral intramedullary metal debris from a broken RIA reamer head; three weeks after the final surgery of a two-stage Masquelet procedure for the treatment of posttraumatic segmental bone loss at the tibia.

摘要

扩髓-冲洗-吸引器(RIA)设备是一种安全有效的获取自体骨用于移植的方法。然而,可能会出现硬件故障,例如扩髓钻头断裂,金属碎片残留在髓腔内。本病例报告描述了在治疗胫骨创伤后节段性骨缺损的两阶段Masquelet手术最后一次手术后三周,顺利地二次取出股骨髓腔内来自断裂的RIA扩髓钻头的金属碎片的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/f8fd9ac3432b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/69a659bd5400/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/9de5ffeb51d9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/1e09a8b32b7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/09218663a25c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/f8fd9ac3432b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/69a659bd5400/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/9de5ffeb51d9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/1e09a8b32b7b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/09218663a25c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf3/11440285/f8fd9ac3432b/gr5.jpg

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本文引用的文献

1
Long-term outcomes of lower limb post-traumatic osteomyelitis.下肢创伤后骨髓炎的长期疗效。
Eur J Trauma Emerg Surg. 2023 Feb;49(1):539-549. doi: 10.1007/s00068-022-02104-9. Epub 2022 Sep 17.
2
Complications associated using the reamer-irrigator -aspirator (RIA) system: a systematic review and meta-analysis.使用扩髓冲洗抽吸系统(RIA)相关的并发症:系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2023 Jul;143(7):3823-3843. doi: 10.1007/s00402-022-04621-z. Epub 2022 Sep 17.
3
A technical note: How to extract broken Reamer-Irrigator-Aspirator (RIA) metal intramedullary debris.
技术说明:如何取出折断的髓内绞刀-冲洗-抽吸(RIA)金属碎片。
Injury. 2022 Apr;53(4):1568-1571. doi: 10.1016/j.injury.2022.01.039. Epub 2022 Jan 25.
4
Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis.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。
J Orthop Traumatol. 2021 Dec 1;22(1):50. doi: 10.1186/s10195-021-00612-9.
5
RIA versus iliac crest bone graft harvesting: A meta-analysis and systematic review.股骨髓内钉与髂嵴取骨术:荟萃分析和系统评价。
Injury. 2022 Feb;53(2):286-293. doi: 10.1016/j.injury.2021.10.002. Epub 2021 Oct 15.
6
Intramedullary tissue cultures from the Reamer-Irrigator-Aspirator system for diagnosing fracture-related infection.髓内组织培养物来自扩髓冲洗吸引器系统,用于诊断骨折相关感染。
J Orthop Res. 2021 Feb;39(2):281-290. doi: 10.1002/jor.24816. Epub 2020 Aug 10.
7
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Patient Saf Surg. 2019 Dec 2;13:39. doi: 10.1186/s13037-019-0215-3. eCollection 2019.
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The Reamer-Irrigator-Aspirator in Nonunion Surgery.用于骨不连手术的扩髓-冲洗-吸引器
Orthop Clin North Am. 2019 Jul;50(3):297-304. doi: 10.1016/j.ocl.2019.03.001. Epub 2019 Apr 16.
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