Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis

Abstract Background The reamer irrigator aspirator (RIA) is a relatively recent device that is placed in the medullary canal of long bones to harvest a large volume of bone marrow, which is collected in a filtered canister. This study compares outcomes and complications of the RIA versus a tradition...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Francesco Oliva, Filippo Migliorini, Francesco Cuozzo, Ernesto Torsiello, Frank Hildebrand, Nicola Maffulli
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Reamer Irrigator Aspirator RIA Iliac Crest Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/c43f77f7c31d419d9d650cf03c882f8c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c43f77f7c31d419d9d650cf03c882f8c
record_format	dspace
spelling	oai:doaj.org-article:c43f77f7c31d419d9d650cf03c882f8c2021-12-05T12:21:32ZOutcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis10.1186/s10195-021-00612-91590-99211590-9999https://doaj.org/article/c43f77f7c31d419d9d650cf03c882f8c2021-12-01T00:00:00Zhttps://doi.org/10.1186/s10195-021-00612-9https://doaj.org/toc/1590-9921https://doaj.org/toc/1590-9999Abstract Background The reamer irrigator aspirator (RIA) is a relatively recent device that is placed in the medullary canal of long bones to harvest a large volume of bone marrow, which is collected in a filtered canister. This study compares outcomes and complications of the RIA versus a traditional iliac crest bone graft (ICBG) for the treatment of bone defects. Methods This meta-analysis was conducted according to the PRISMA guidelines. The Embase, Google Scholar, PubMed, and Scopus databases were accessed in June 2021. All clinical trials comparing the RIA and ICBG with a minimum of 6 months follow-up were included. Results Data from 4819 patients were collected. The RIA group demonstrated lower site pain (P < 0.0001), fewer infections (P = 0.001), and a lower rate of adverse events (P < 0.0001). The ICBG group demonstrated a greater rate of bone union (P < 0.0001). There was no difference between groups in VAS (P = 0.09) and mean time to union (P = 0.06). Conclusion The current evidence supports the use of the RIA, given its low morbidity and short learning curve.Francesco OlivaFilippo MiglioriniFrancesco CuozzoErnesto TorsielloFrank HildebrandNicola MaffulliSpringerOpenarticleReamerIrrigatorAspiratorRIAIliacCrestOrthopedic surgeryRD701-811ENJournal of Orthopaedics and Traumatology, Vol 22, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Reamer Irrigator Aspirator RIA Iliac Crest Orthopedic surgery RD701-811
spellingShingle	Reamer Irrigator Aspirator RIA Iliac Crest Orthopedic surgery RD701-811 Francesco Oliva Filippo Migliorini Francesco Cuozzo Ernesto Torsiello Frank Hildebrand Nicola Maffulli Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
description	Abstract Background The reamer irrigator aspirator (RIA) is a relatively recent device that is placed in the medullary canal of long bones to harvest a large volume of bone marrow, which is collected in a filtered canister. This study compares outcomes and complications of the RIA versus a traditional iliac crest bone graft (ICBG) for the treatment of bone defects. Methods This meta-analysis was conducted according to the PRISMA guidelines. The Embase, Google Scholar, PubMed, and Scopus databases were accessed in June 2021. All clinical trials comparing the RIA and ICBG with a minimum of 6 months follow-up were included. Results Data from 4819 patients were collected. The RIA group demonstrated lower site pain (P < 0.0001), fewer infections (P = 0.001), and a lower rate of adverse events (P < 0.0001). The ICBG group demonstrated a greater rate of bone union (P < 0.0001). There was no difference between groups in VAS (P = 0.09) and mean time to union (P = 0.06). Conclusion The current evidence supports the use of the RIA, given its low morbidity and short learning curve.
format	article
author	Francesco Oliva Filippo Migliorini Francesco Cuozzo Ernesto Torsiello Frank Hildebrand Nicola Maffulli
author_facet	Francesco Oliva Filippo Migliorini Francesco Cuozzo Ernesto Torsiello Frank Hildebrand Nicola Maffulli
author_sort	Francesco Oliva
title	Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
title_short	Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
title_full	Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
title_fullStr	Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
title_full_unstemmed	Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
title_sort	outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/c43f77f7c31d419d9d650cf03c882f8c
work_keys_str_mv	AT francescooliva outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis AT filippomigliorini outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis AT francescocuozzo outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis AT ernestotorsiello outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis AT frankhildebrand outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis AT nicolamaffulli outcomesandcomplicationsofthereamerirrigatoraspiratorversustraditionaliliaccrestbonegraftharvestingasystematicreviewandmetaanalysis
_version_	1718372040674639872

Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis

Ejemplares similares