RIA system non-inferior to conventional reaming plus antibiotic cement spacer for IM nail infection
Patient Saf Surg. 2019 Dec 2;13:39.44 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.
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