A technical note: How to extract broken Reamer-Irrigator-Aspirator (RIA) metal intramedullary debris

•Breakage of the RIA-2 system reamer head with persistence of metal debris in the femoral canal has never been reported.•This is a frustrating and challenging situation in which the surgeon may be seriously left without an option but to abandon them inside the canal.•A technical trick using a combin...

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Bibliographic Details
Published in:Injury 2022-04, Vol.53 (4), p.1568-1571
Main Authors: Chloros, George D., Giannoudis, Vasileios P., Kanakaris, Nikolaos K., Giannoudis, Peter V.
Format: Article
Language:English
Subjects:
Extraction
Hardware failure
Reamer Irrigator Aspirator (RIA)
RIA malfunction
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Summary:•Breakage of the RIA-2 system reamer head with persistence of metal debris in the femoral canal has never been reported.•This is a frustrating and challenging situation in which the surgeon may be seriously left without an option but to abandon them inside the canal.•A technical trick using a combination of instruments is provided as a bailout from this distressing situation. The Reamer-Irrigator-Aspirator (RIA-2) system has been established as a safe and reliable device to harvest large amounts of autograft. Nevertheless, hardware complications may occur. Breakage of the reamer head from the drive shaft with intramedullary retention of small metal debris has never been dealt with. The authors provide a technical trick as a bailout in this difficult situation.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2022.01.039