Use of the Reamer Irrigator Aspirator for the Treatment of a 20-Year Recurrent Osteomyelitis of a Healed Femur Fracture : Journal of Orthopaedic Trauma

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Case Report

Use of the Reamer Irrigator Aspirator for the Treatment of a 20-Year Recurrent Osteomyelitis of a Healed Femur Fracture

Bellapianta, Joseph MD*; Gerdeman, Andrew MD*; Sharan, Alok MD; Lozman, Jeffrey MD*

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Journal of Orthopaedic Trauma 21(5):p 343-346, May 2007. | DOI: 10.1097/BOT.0b013e318051532d

Abstract

Summary: 

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.

© 2007 Lippincott Williams & Wilkins, Inc.

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