Stickels Michael William, Roh Kyung Min, Belthur Meghana, Belthur Mohan V
Department of Orthopedic Surgery, University of Arizona College of Medicine-Phoenix, 475 N 5th St., Phoenix, AZ 85004, USA.
School of Life Sciences, Arizona State University, 411 N Central Ave., Phoenix, AZ 85004, USA.
Children (Basel). 2025 May 29;12(6):700. doi: 10.3390/children12060700.
Reamer-irrigator-aspirators (RIAs) are newer orthopedic devices intended to harvest bone while minimizing complications associated with traditional harvesting techniques. Its high success rate has resulted in relatively few studies on its intraoperative and postoperative complications, especially in pediatric populations. This study provides a scoping review of complications associated with the RIA and presents an institutional case series of RIA complications.
The scoping review was conducted via modified Joanna Briggs Institute (JBI) guidelines. Cases at a single institution were selected on an individual basis as they occurred during or after RIA-associated surgeries.
Our case series consists of three males and one female, ranging from 8 to 14 years old, with varying comorbid orthopedic conditions. All complications occurred intraoperatively, with three instances of retained hardware and one instance of cortical disruption. Each complication was classified as stage I according to the modified Clavien-Dindo-Sink classification system. There were no long-term sequelae despite limited management. A scoping review of the literature revealed extremely limited data on pediatric complications, but several mechanical and clinical complications have been described.
Complications associated with RIA use in children appear to be inconsequential, but data are very sparse, and further studies are required.
扩孔钻-冲洗器-吸引器（RIA）是一种新型骨科器械，旨在采集骨组织，同时将与传统采集技术相关的并发症降至最低。其高成功率导致关于其术中及术后并发症的研究相对较少，尤其是在儿科人群中。本研究对与RIA相关的并发症进行了范围综述，并呈现了一组机构内RIA并发症的病例系列。
范围综述按照修改后的乔安娜·布里格斯研究所（JBI）指南进行。单个机构内的病例根据其在RIA相关手术期间或之后发生的情况逐个进行选择。
我们的病例系列包括三名男性和一名女性，年龄在8至14岁之间，合并有不同的骨科疾病。所有并发症均发生在术中，其中三例为内固定物残留，一例为皮质骨破坏。根据修改后的Clavien-Dindo-Sink分类系统，每种并发症均被归类为I期。尽管处理有限，但未出现长期后遗症。对文献的范围综述显示，关于儿科并发症的数据极为有限，但已描述了一些机械性和临床并发症。
儿童使用RIA相关的并发症似乎并不严重，但数据非常稀少，需要进一步研究。
