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Review
. 2021 Sep 24;10(19):4347.
doi: 10.3390/jcm10194347.

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

Filippo Migliorini  1 , Francesco Cuozzo  2 , Ernesto Torsiello  2 , Filippo Spiezia  3 , Francesco Oliva  2 , Nicola Maffulli  2   4   5
Affiliations
Review

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

Filippo Migliorini et al. J Clin Med. .

Abstract

Autologous bone grafting is common in trauma and orthopaedic surgery. Both the Reamer Irrigator Aspirator (RIA) and Iliac Crest Bone Graft (ICBG) aim to obtain autologous bone graft. Although the process of harvesting a bone graft is considered simple, complications may occur. This study examined morbidity and pain at the donor site, blood loss, and iatrogenic fractures, comparing RIA and ICBG. The source of the autologous bone graft, the alternative graft sites, and the storage modalities of the harvested bone marrow were also evaluated. In May 2021, PubMed, Embase, Scopus, and Google Scholar were accessed, with no time constraints. RIA may produce greater blood loss, but with less morbidity and complications, making it a potential alternative source of bone grafting.

Keywords: Reamer Irrigator Aspirator; autologous; bone; graft; iliac crest.

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Conflict of interest statement

The authors declare that they have no competing interest.

Figures

Figure 1
Figure 1
RIA device (A: portal to collect reaming; B: reamer driver shaft; C: water irrigator; D: aspirator/filtered canister).
Figure 2
Figure 2
ICBG harvest site (A: anterior incision on anterior superior iliac spine; B: lateral femoral cutaneous nerve; C: posterior incision on posterior superior iliac spine; D: superior cluneal nerves).
Figure 3
Figure 3
RIA access site (A: RIA inserted at trochanteric tip; B: level of great trochanter; C: anatomic axis of femur).
See this image and copyright information in PMC

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