Autogenous bone graft collection by acetabular reamers at the ilium yielded comparable volume with less blood loss and lower costs compared to the Reamer-Irrigator-Aspirator 2 system at the femur.

ABSTRACT:

Objective

To compare autogenous bone graft volume, blood loss, transfusion rate, complications, and costs by collection using acetabular reamers at the ilium (ARI) to Reamer-Irrigator-Aspirator (RIA2) at the femur.

Materials and methods

Adults who underwent long bone or sacral nonunion repair with autogenous bone graft collection by either unilateral ARI or RIA2 from femur from November 2020 to May 2023 at two academic trauma referral centers were retrospectively identified. Outcomes included graft volume, estimated blood less (EBL), perioperative change in hematocrit (ΔHct) and hemoglobin (ΔHgb), red blood cells (pRBC) units transfused intra- or postoperatively, infection, iatrogenic fracture, pathologic fracture, venous thromboembolism, and equipment costs per procedure.

SUBMITTER: Duong A 

PROVIDER: S-EPMC12166000 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature