Intramedullary Delivery of Autologous Bone Graft to Long Bone Defects Using Reamer Irrigator Aspirator 2 System: Technical Trick

Abstract

Management of nonunions and bone defects remain a persistent orthopedic challenge. Traditional methods of autologous bone graft are complicated by donor site morbidity, limited graft availability, and local morbidity imposed from surgical dissection around the nonunion. This case demonstrates a method of autologous bone grafting which avoids many of these patient morbidities while delivering large volume bone graft to the nonunion site. The technique utilizes the Reamer Irrigator Aspirator 2 System to harvest and deliver ipsilateral autologous bone graft intramedullary to the distal tibia nonunion without the need for further surgical dissection. This technical trick successfully delivered a large volume of bone graft intramedullary to the nonunion site without additional surgical dissection or extra equipment. Using the Reamer Irrigator Aspirator 2 System equipment, a large volume of autologous bone graft can be delivered to the nonunion site intramedullary without additional fracture site dissection or additional harvest site morbidity.