Intramedullary reaming modality for management of postoperative long bone infection: a prospective randomized controlled trial in 44 patients

研究概要

44 patients who previously received intramedullary locking nail fixation of the tibia and femur and were diagnosed with osseous infection were randomized to receive intramedullary reaming with a reamer-irrigator-aspirator (RIA) system or conventional reaming with an antibiotic-loaded cement spacer. The primary outcome of interest was the 2-year remission rate of intramedullary infection. Additional outcomes of interest included pain on a Visual Analog Scale (VAS). Results found no significant differences in the 2-year remission rate of intramedullary infection between the RIA and conventional reaming groups. Both groups displayed significant improvements in VAS pain score following surgery.