Evidence map›Paper›PMID 27402484›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016

The use of Reamer-irrigator-aspirator in the management of long bone osteomyelitis: an update.

T H Tosounidis, G M Calori, P V Giannoudis

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Current Concepts of Fracture-Related Infection.International journal of clinical practice · 2023
    Review
  10. Functionalization of Synthetic Bone Substitutes.International journal of molecular sciences · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Post-traumatic osteomyelitis: an unresolved conundrum in orthopedic trauma surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016
    Article
  19. Non-unions.Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

T H TosounidisAcademic Department of Trauma and Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK.
G M CaloriG. Pini Institute, University of Milan, Piazza Cardinal Ferrari 1, Milan, Italy.
P V GiannoudisAcademic Department of Trauma and Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK. pgiannoudi@aol.com.
Chapel Allerton Hospital · GBFerrari (Italy) · ITUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReamer-irrigator-aspirator (RIA) is an innovative device that its indications have recently been expanded to the management of long bone infections.

methodsIn this narrative review, we summarise the most important studies in the field and we present the current open questions pertaining to the use of RIA in the management of osteomyelitis of long bones.

resultsThe relevant literature is sparse and low quality. Nevertheless, the use of RIA for infected cases has yielded promising outcomes in specialised centres. Technical aspects that merit special attention in osteomyelitis of long bones are its inapplicability in small diameter long bones, the inadequate debridement of wide metaphyseal areas and the potential bleeding sequelae. The use of RIA in open fracture management to reduce infection risk has not gained acceptance. The antibiotic impregnated nails and rods constitute a complimentary strategy for the management of infections.

conclusionsThe use of RIA for the management of long bone infections is an innovative and promising strategy. High quality studies are needed to shed light in its efficacy compared to conventional methods of management of osteomyelitis of long bones.

Indexed as

Bone TransplantationDebridementEvidence-Based MedicineFractures, BoneHumansOsteomyelitisTherapeutic IrrigationTissue and Organ HarvestingTreatment OutcomeInfectionLong bonesOsteomyelitisPanmedullary sepsisReamer–irrigator–aspiratorReamingRIA

Identifiers

PMID27402484
PMCPMC4969338
OpenAlexW2471534583

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.