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Related Experiment Video

Updated: May 31, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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A new technique for removing intramedullary cement.

Jason A Lowe¹, Caleb Vosburg, Yvonne M Murtha

¹Department of Orthopaedic Surgery, University of Missouri, Columbia, MO 65212, USA.

Journal of Orthopaedic Trauma

|June 24, 2011

Summary

Removing antibiotic cement from intramedullary nails after treating infected fractures can be challenging. The Reamer Irrigator Aspirator system offers an effective solution for difficult cement fragment removal, aiding bone union.

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Area of Science:

Orthopedic surgery
Biomaterials science
Infectious disease management

Background:

Infected long bone fractures require stable fixation and antibiotic delivery for bony union.
Antibiotic cement intramedullary nails provide stability and local antibiotic treatment but can be difficult to remove.
Retained cement fragments pose a significant challenge in revision surgeries.

Observation:

Standard removal techniques for antibiotic cement fragments can be time-consuming and may fail.
The Reamer Irrigator Aspirator (RIA) system is a specialized tool for managing challenging intramedullary canal debris.
Case studies demonstrate the RIA system's utility in removing retained antibiotic cement after nail extraction.

Findings:

The Reamer Irrigator Aspirator system effectively removes retained antibiotic cement fragments from the intramedullary canal.

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An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice

An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice

Published on: November 13, 2016

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Last Updated: May 31, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice

An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice

Published on: November 13, 2016

This method facilitates complete canal clearance, which is crucial for subsequent treatment or bone grafting.

Successful application of the RIA system was shown in three distinct clinical cases.

Implications:

The RIA system provides a valuable option for surgeons managing complex cases of infected nonunions or fractures with retained cement.
Improved methods for cement removal can reduce operative time and patient morbidity.
This technique enhances the management of orthopedic infections, potentially improving outcomes for patients with challenging bone defects.