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Novel Technique for Extracting Metallic Debris from a Broken Reamer-Irrigator-Aspirator-2 Head within the
Devin Q John1, David A Patch2, Walt R Smith2
1Department of Orthopaedic Surgery, HCA Florida JFK Hospital, Atlantis, FL, USA.
Introduction:
The reamer-irrigator-aspirator (RIA) is safe and effective for harvesting intramedullary autograft and tissue for culture. However, mechanical complications such as reamer head dissociation with retained intramedullary debris have been previously reported.
Case Report:
Techniques to remove the metallic debris have been described, but are technically challenging and inefficient. The authors provide a novel technique to aid in the removal of loose debris using a laparoscopic suction device.
Conclusion:
We have utilized this instrument on multiple occasions, and it has demonstrated itself to be safe, reliable, and effective at removing all debris.
