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Reaming may produce sizeable amounts of bone graft on multiple occasions
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Sequential reaming of the intramedullary femoral bone canal may produce substantial amounts of bone graft on multiple occasions, according to recently published data.
Researchers studied eight instances of sequential reaming to obtain bone graft in seven patients, where the graft was taken from the same intramedullary canal of the femur on several instances between 2007 and 2011. Six of the patients were harvested two times and one patient was harvested three times.
The main outcomes measured were time between reamings, reamer head size, indication for reaming (nonunion), volume of bone graft and complications. Time between procedures was an average of 9 months.
The average volume of graft garnered was 34 mL in the first procedure and 45 mL in the second procedure. This trend of graft volume procured being greater in the second procedure than the initial procedure was observed in all but one instance.
There were no complications observed related to the reaming procedure, according to the researchers.
Disclosure: Conway is a paid consultant for DePuy Synthes.
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