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Significantly greater transfusion rate found with reamer irrigator system for bone graft harvest
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Use of a reamer irrigator aspirator system for bone graft harvest was linked to a significantly greater transfusion rate compared with the use of iliac crest bone graft, according to results.
Lucas S. Marchand, MD, and colleagues identified 108 patients (53% were men) who underwent bone graft harvest with either the reamer irrigator aspirator system (n=61; Synthes) or an iliac crest bone graft (n=47) for treatment of a sterile nonunion or arthrodesis procedure. Main outcome measures included blood loss, measured by a change in preoperative and postoperative hematocrit, as well as postoperative transfusion reported through intraoperative blood loss, volume of graft harvested and major complications.
Results showed an average drop in hematocrit of 13.7 and 7.36 in the reamer irrigator aspirator and iliac crest bone graft groups, respectively. Researchers noted the reamer irrigator aspirator group had an average estimated blood loss of 674 mL vs. 255 mL in the iliac crest bone graft group. Blood transfusion was required for 44% of patients in the reamer irrigator aspirator group and for 21% of patients in the iliac crest bone graft group. Researchers collected an average of 53 mL of bone graft in reamer irrigator aspirator procedures vs. 27 mL with iliac crest bone graft. – by Casey Tingle
Disclosure s : Marchand reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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