Use of the reamer irrigator aspirator for the treatment of a 20-year recurrent osteomyelitis of a healed femur fracture.

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.

journal_name

J Orthop Trauma

authors

Bellapianta J,Gerdeman A,Sharan A,Lozman J

doi

10.1097/BOT.0b013e318051532d

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

343-6

issue

5

eissn

0890-5339

issn

1531-2291

pii

00005131-200705000-00009

journal_volume

21

pub_type

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