The Reamer-Irrigator-Aspirator: Roles and Evidence Supporting its use in Current Orthopaedic Practice
Kevin M. Kuhn*, Brian T. Barlow and David Dromsky
Department of Orthopaedic Surgery, Naval Medical Center San Diego, USA
- *Corresponding Author:
- Kevin M. Kuhn
Department of Orthopaedic Surgery
Naval Medical Center San Diego, San Diego, CA 92134, USA
E-mail: [email protected]
Received date: December 09, 2013; Accepted date: January 28, 2014; Published date: February 05, 2014
Citation: Kuhn KM, Barlow BT, Dromsky D (2014) The Reamer-Irrigator-Aspirator: Roles and Evidence Supporting its use in Current Orthopaedic Practice. Surgery Curr Res 4:167. doi:10.4172/2161-1076.1000167
Copyright: © 2014 Kuhn KM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The Reamer-Irrigator-Aspirator (RIA) is an innovative technology created to address physiologic consequences of intramedullary reaming in femur fractures. While multiple physiolgic benefits have been demonstrated in animal studies, currently, no high quality data to demonstrate improved clinical outcomes in trauma patients or support its routine use in the treatment of acute femur fractures. Auto graft obtained from the use of RIA demonstrates osteogenic potential at least equal to iliac crest auto graft with potentially less donor site morbidity. The RIA also demonstrates theoretical benefits in the treatment of conditions which require intramedullary debridement; however, at this time no high level comparative trials exist to support its routine use. Although new complications unique to the RIA device have been reported, most can be avoided with careful preoperative planning and meticulous attention to technique. The RIA has many promising characteristics, but further research is necessary to continue to clarify its clinical role in modern orthopaedics.