Volume 41, Issue 1, Pages (January 2010)

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Volume 41, Issue 1, Pages 63-73 (January 2010) Treatment of Large Segmental Bone Defects with Reamer-Irrigator-Aspirator Bone Graft: Technique and Case Series Todd A. McCall, MD, David S. Brokaw, MD, Bradley A. Jelen, DO, D. Kevin Scheid, MD, Angela V. Scharfenberger, MD, Dean C. Maar, MD, James M. Green, BS, Melanie R. Shipps, BS, Marcus B. Stone, PhD, Dana Musapatika, MS, MSc, Timothy G. Weber, MD Orthopedic Clinics Volume 41, Issue 1, Pages 63-73 (January 2010) DOI: 10.1016/j.ocl.2009.08.002 Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 1 Templating and reaming canal. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 2 Reamer-irrigator-aspirator set-up. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 3 Guide rod in medial and lateral femoral condyle to maximize bone graft. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 4 Anterior–posterior radiograph showing 14 cm defect with methylmethacrylate spacer. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 5 Anterior–posterior (A) and lateral (B) radiographs 10 months after reamer-irrigator-aspirator bone grafting to the tibia showing union of the defect. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 6 Radiographs of a ununited tibial fracture from a skiing accident. Previous union attempt using a cast had failed. (A) Lateral view, (B) Anterior-posterior view, (C) Stress view. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 7 Anterior posterior radiographs showing well-united tibia with no further bone grafting (A, B). Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 8 (A) Femur donor site 6 months after reamer-irrigator-aspirator (RIA) harvest. (B) Femur donor site 5 years after RIA harvest. Orthopedic Clinics 2010 41, 63-73DOI: (10.1016/j.ocl.2009.08.002) Copyright © 2010 Elsevier Inc. Terms and Conditions