Minimally Invasive Iliac Crest Bone Graft Harvesting: A Design and Business Method Overview

Objective This study was performed to introduce a new method of minimally invasive subtalar arthrodesis (MISA) and assess its clinical effects on traumatic subtalar arthritis (TSA). Methods Fifteen patients (8 male and 7 female; age range, 36–56 years; mean age, 48.67 years) with TSA who underwent MISA were included. All patients were treated using a series instrument. The intraoperative and postoperative indexes were recorded. Results Among all patients, the mean operation time was 59.67 ± 16.31 minutes and the mean intraoperative blood loss was 43.33 ± 52.87 mL. Four patients underwent iliac crest bone graft surgery, and one patient developed a complication involving fat liquefaction of the iliac crest wound. The mean bony fusion time among all patients was 3.5 months. According to the American Orthopaedic Foot and Ankle Society standard, an excellent outcome was obtained in eight patients and a good outcome was obtained in seven patients. The operation time and intraoperative blood loss were significantly different between patients who did and did not undergo iliac crest bone graft surgery. Conclusion MISA is a simple and effective method for the treatment of TSA.

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Evaluation of analgesic effect of local administration of morphine after iliac crest bone graft harvesting: A double blind study

Journal of Anaesthesiology Clinical Pharmacology ◽

10.4103/0970-9185.117109 ◽

2013 ◽

Vol 29 (3) ◽

pp. 356 ◽

Cited By ~ 5

Author(s):

Nidhi Bhatia ◽

Satinder Gombar ◽

Sudhir Garg ◽

Devinder Singh ◽

KK Gombar

Keyword(s):

Bone Graft ◽

Analgesic Effect ◽

Iliac Crest ◽

Blind Study ◽

Local Administration ◽

Iliac Crest Bone Graft ◽

Double Blind Study ◽

Double Blind ◽

Bone Graft Harvesting

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Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis

Journal of Orthopaedics and Traumatology ◽

10.1186/s10195-021-00612-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Francesco Oliva ◽

Filippo Migliorini ◽

Francesco Cuozzo ◽

Ernesto Torsiello ◽

Frank Hildebrand ◽

...

Keyword(s):

Bone Graft ◽

Iliac Crest ◽

Meta Analysis ◽

Medullary Canal ◽

Current Evidence ◽

Iliac Crest Bone Graft ◽

Bone Graft Harvesting ◽

Mean Time ◽

Lower Site

Abstract 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.

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