OTA 2013: Reamer-irrigator-aspirator device for IM nailing of femoral fracture .
A Prospective Randomized Trial Investigating the Effect of the Reamer-Irrigator- Aspirator (RIA) on the Volume of Embolic Load and Respiratory Functions During Intramedullary Nailing of Femoral Shaft Fractures
28 patients scheduled to receive reamed, statically locked intramedullary nailing of a femoral shaft fracture were randomly assigned into 1 of 2 groups to test the effect of the Reamer-Irrigator-Aspirator (RIA) device on the quantity of marrow debris formed during the reaming process. The use of the RIA device during intramedullary nailing was compared to nailing completed with standard reamers. Results indicated that patients who received treatment using the RIA device experienced a significant reduction in embolic debris during the reaming and nail insertion segments of the surgery, but this reduction did not affect any physiological outcomes postoperatively.
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