Use of the reamer irrigator aspirator for the treatment of a 20-year recurrent osteomyelitis of a healed femur fracture

Joseph Bellapianta, Andrew Gerdeman, Alok Sharan, Jeffrey Lozman

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

In the following case, a 20-year-old male was involved in a motorcycle accident where he sustained an open midshaft femur fracture treated with open reduction and internal fixation. Several weeks later, the wound became infected and the plate was removed. Over the following 20 years numerous incision and debridements were performed, with multiple courses of antibiotics for persisting infection. One year following reaming with the reamer-irrigator-aspirator (RIA), the patient is symptom free. It is our belief that organisms were sequestered in the fibrous and bony tissue at the healed fracture site, and, by opening the canal and allowing it to revascularize, the infection was cleared.

Original languageEnglish (US)
Pages (from-to)343-346
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume21
Issue number5
DOIs
StatePublished - May 1 2007

Keywords

  • Aspiration
  • Chronic bone infection
  • Irrigation
  • Osteomyelitis
  • Reamer
  • Sequestration

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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