Retrograde Femoral Bone Graft Acquisition Using the Reamer–Irrigator–Aspirator

2018 ◽  
Vol 28 (3) ◽  
pp. 181-185
Author(s):  
Benjamin C. Taylor ◽  
Jacob J. Triplet ◽  
David Bird Johnson ◽  
Barry Dale Sharpe ◽  
Brian Sullivan ◽  
...  
Keyword(s):  
Bone Graft ◽  
Femoral Bone

Retrograde Versus Antegrade Femoral Bone Graft Harvesting Using the Reamer–Irrigator–Aspirator

2015 ◽  
Vol 29 (8) ◽  
pp. 370-372 ◽  
Author(s):  
Richard L. Davis ◽  
Benjamin C. Taylor ◽  
Nathan Johnson ◽  
Jason R. Ferrel ◽  
Joaquin Castaneda
Keyword(s):  
Bone Graft ◽  
Femoral Bone ◽  
Bone Graft Harvesting

Influence of the Reamer-Irrigator-Aspirator diameter on femoral bone strength and amount of harvested bone graft – a biomechanical cadaveric study

Injury ◽  
2020 ◽  
Vol 51 (12) ◽  
pp. 2846-2850
Author(s):  
Nina Schmitz ◽  
Dominic Gehweiler ◽  
Dirk Wähnert ◽  
Ivan Zderic ◽  
Leonard Grünwald ◽  
...  
Keyword(s):  
Bone Graft ◽  
Bone Strength ◽  
Cadaveric Study ◽  
Femoral Bone

scholarly journals Safety and efficacy of a novel retrograde route for femoral bone graft harvesting by Reamer-Irrigator-Aspirator: a pilot study on 24 patients

2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Fernando Bidolegui ◽  
Sebastián Pereira ◽  
Cristina Irigoyen ◽  
Robinson Esteves Pires
Keyword(s):  
Postoperative Pain ◽  
Bone Graft ◽  
Iliac Crest ◽  
Bone Defects ◽  
Femoral Bone ◽  
Femoral Route ◽  
Bone Graft Harvesting ◽  
Post Traumatic ◽  
Graft Volume

Abstract Background The Reamer–Irrigator–Aspirator system was initially developed to reduce fat embolism and thermic necrosis during reamed intramedullary nail fixation of femoral shaft fractures. Currently, this system is used in extended applications including accessing large volume of autologous bone graft, as alternative for iliac crest harvesting. Antegrade femoral bone graft harvesting using the Reamer-Irrigator-Aspirator system is considered the standard technique. The aim of our study is to evaluate the efficacy (bone graft volume) and the complications (blood loss, postoperative pain, and incidence of iatrogenic fractures) of the Reamer–Irrigator–Aspirator system through the retrograde femoral route in a series of patients with post-traumatic bone defects or nonunions. Methods A non-controlled single center retrospective observational cohort study was conducted in a level1 trauma center to evaluate all patients who were treated using the RIA system. Between November 2015 and May 2019, 24 patients (8 women and 16 men; mean age: 41 years [range 27–55 years]) with bone defects or nonunions underwent bone graft harvesting using the Reamer–Irrigator–Aspirator system through retrograde femoral route. Postoperative pain, complications, and bone graft volume were analyzed. Inclusion criteria was patients older than 18 years with a diagnosis of post-traumatic bone defect or associated tibial or femoral nonunion, with minimum 6-months follow, treated using the RIA. We hypothesized that the retrograde route of the RIA system is a safe and efficacious method for bone harvesting. Results The average volume of collected graft was 45 cc (range 30–60 cc). In 83% of the cases, bone grafting was sufficient, while in 17% it was necessary to add iliac crest bone graft to completely fill the bone defect. A mean drop in postoperative hemoglobin of 4.1 g / dL (range 0.5–6.0 g / dL) was evidenced. In 4 cases (33%), a unit of packed red blood cells was required. Regarding postoperative pain, visual analogue scale after 3 months postoperatively was 1.6 in average. After 6 months, the value has decreased to 0.4. There were no perioperative or postoperative complications at 6-month follow-up. Conclusion In this limited case series, large volumes of bone graft were harvested using the retrograde route of the RIA system and there were no intra-/ postoperative complications observed at 6-month follow-up. Therefore this novel technique appears safe and efficacious. However, it’s important to highlight that future prospective controlled studies are necessary to validate the insights from this pilot study.

A gastrocnemius-pedicled femoral bone graft in resection arthrodesis at the knee

1988 ◽  
Vol 70-B (3) ◽  
pp. 354-357 ◽  
Author(s):  
RW Pho ◽  
MH Patterson ◽  
K Satku
Keyword(s):  
Bone Graft ◽  
Femoral Bone

scholarly journals Folded Free Vascularized Fibular Bone Graft for Segmental Femoral Bone Defect: a Retrospective Report

2021 ◽  
Author(s):  
Yifan Wu ◽  
Chao Jian ◽  
Baiwen Qi ◽  
Zonghuan Li ◽  
Aixi Yu
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Clinical Data ◽  
External Fixators ◽  
Imaging Data ◽  
Femoral Bone ◽  
Fixation Failure ◽  
Time Operation ◽  
Segmental Bone

Abstract ObjectiveVascularized fibular bone graft is an efficient method for various segmental bone defects. The objective of this report is to introduce our experience of folded free vascularized fibular bone graft for segmental femoral bone defect.Patients and methodsClinical data collected by surgeons and Hospital Information System (HIS) system were screened respectively. Cases with segmental femoral bone defect repaired by folded free vascularized fibular bone graft were collected. Clinical data including demographic characteristics, defect size, coinfection, perioperative treatment and imaging data during follow up were all collected for analysis.ResultsTwelve patients (10 males and 2 females), aged from 6 to 58, were included in this report. The defect range was 3 to 10 cm, with an average of 6.2 cm. Three cases were complicated with infection, the others were not. Folded free vascularized fibular bone graft were harvested for the reconstruction of segmental femoral bone defect. The grafts were fixed with plates in 9 cases and external fixators in 3 cases. All grafts healed uneventfully with an average healing time of 5.2 months (range 4~8 months). Internal fixation failure occurred in one case. The follow up time ranged from 15 to 130 months (average 58.3 months).ConclusionFolded free fibula graft is one of the optional methods for segmental bone defect of femur. Through this method, patients can achieve one-time operation to reconstruct the bone defect of the affected limb.

scholarly journals Folded Free Vascularized Fibular Bone Graft for Segmental Femoral Bone Defect: a Retrospective Report

2021 ◽  
Author(s):  
Yifan Wu ◽  
Chao Jian ◽  
Baiwen Qi ◽  
Zonghuan Li ◽  
Aixi Yu
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Clinical Data ◽  
External Fixators ◽  
Imaging Data ◽  
Femoral Bone ◽  
Fixation Failure ◽  
Time Operation ◽  
Segmental Bone

Abstract ObjectiveVascularized fibular bone graft is an efficient method for various segmental bone defects. The objective of this report is to introduce our experience of folded free vascularized fibular bone graft for segmental femoral bone defect.Patients and methodsClinical data collected by surgeons and Hospital Information System (HIS) system were screened respectively. Cases with segmental femoral bone defect repaired by folded free vascularized fibular bone graft were collected. Clinical data including demographic characteristics, defect size, coinfection, perioperative treatment and imaging data during follow up were all collected for analysis.ResultsTwelve patients (10 males and 2 females), aged from 6 to 58, were included in this report. The defect range was 3 to 10 cm, with an average of 6.2 cm. Three cases were complicated with infection, the others were not. Folded free vascularized fibular bone graft were harvested for the reconstruction of segmental femoral bone defect. The grafts were fixed with plates in 9 cases and external fixators in 3 cases. All grafts healed uneventfully with an average healing time of 5.2 months (range 4~8 months). Internal fixation failure occurred in one case. The follow up time ranged from 15 to 130 months (average 58.3 months).ConclusionFolded free fibula graft is one of the optional methods for segmental bone defect of femur. Through this method, patients can achieve one-time operation to reconstruct the bone defect of the affected limb.

scholarly journals The Murine Femoral Bone Graft Model and a Semiautomated Histomorphometric Analysis Tool

2014 ◽  
pp. 45-59 ◽  
Author(s):  
Robinder S. Dhillon ◽  
Longze Zhang ◽  
Edward M. Schwarz ◽  
Brendan F. Boyce ◽  
Chao Xie
Keyword(s):  
Bone Graft ◽  
Analysis Tool ◽  
Histomorphometric Analysis ◽  
Femoral Bone
Sign in / Sign up

Export Citation Format

Share Document