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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 4/2016

Open Access 01-08-2016 | Review Article

The use of Reamer–irrigator–aspirator in the management of long bone osteomyelitis: an update

Authors: T. H. Tosounidis, G. M. Calori, P. V. Giannoudis

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2016

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Abstract

Purpose

Reamer–irrigator–aspirator (RIA) is an innovative device that its indications have recently been expanded to the management of long bone infections.

Methods

In this narrative review, we summarise the most important studies in the field and we present the current open questions pertaining to the use of RIA in the management of osteomyelitis of long bones.

Results

The relevant literature is sparse and low quality. Nevertheless, the use of RIA for infected cases has yielded promising outcomes in specialised centres. Technical aspects that merit special attention in osteomyelitis of long bones are its inapplicability in small diameter long bones, the inadequate debridement of wide metaphyseal areas and the potential bleeding sequelae. The use of RIA in open fracture management to reduce infection risk has not gained acceptance. The antibiotic impregnated nails and rods constitute a complimentary strategy for the management of infections.

Conclusions

The use of RIA for the management of long bone infections is an innovative and promising strategy. High quality studies are needed to shed light in its efficacy compared to conventional methods of management of osteomyelitis of long bones.
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Metadata
Title
The use of Reamer–irrigator–aspirator in the management of long bone osteomyelitis: an update
Authors
T. H. Tosounidis
G. M. Calori
P. V. Giannoudis
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 4/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-016-0700-7

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