{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:49:30Z","timestamp":1779299370773,"version":"3.51.4"},"reference-count":28,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic Science"],"published-print":{"date-parts":[[2021,5]]},"DOI":"10.1016\/j.jos.2020.04.004","type":"journal-article","created":{"date-parts":[[2020,5,31]],"date-time":"2020-05-31T07:18:41Z","timestamp":1590909521000},"page":"459-465","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical experience of the use of reamer irrigator aspirator in Japanese patients: A report of the first 42 cases"],"prefix":"10.1016","volume":"26","author":[{"given":"Takahiro","family":"Niikura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Oe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyuki","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiko","family":"Matsushita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jos.2020.04.004_bib1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/00005131-199408000-00005","article-title":"Does the reamer type influence the degree of lung dysfunction after femoral nailing following severe trauma? An animal study","volume":"8","author":"Pape","year":"1994","journal-title":"J\u00a0Orthop Trauma"},{"issue":"11","key":"10.1016\/j.jos.2020.04.004_bib2","first-page":"2515","article-title":"Reamed femoral nailing in sheep: does irrigation and aspiration of intramedullary contents alter the systemic response?","volume":"87","author":"Pape","year":"2005","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.jos.2020.04.004_bib3","first-page":"359","article-title":"Physiologic effects of intramedullary reaming","volume":"55","author":"Bedi","year":"2006","journal-title":"Instr Course Lect"},{"issue":"10","key":"10.1016\/j.jos.2020.04.004_bib4","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.injury.2006.06.119","article-title":"The influence of a one-step reamer-irrigator-aspirator technique on the intramedullary pressure in the pig femur","volume":"37","author":"Husebye","year":"2006","journal-title":"Injury"},{"issue":"Suppl 4","key":"10.1016\/j.jos.2020.04.004_bib5","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.1016\/j.injury.2006.08.039","article-title":"Physical and technical aspects of intramedullary reaming","volume":"37","author":"M\u00fcller","year":"2006","journal-title":"Injury"},{"issue":"6","key":"10.1016\/j.jos.2020.04.004_bib6","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1002\/jor.20106","article-title":"Pathophysiological advantages of rinsing-suction-reaming (RSR) in a pig model for intramedullary nailing","volume":"24","author":"Schult","year":"2006","journal-title":"J\u00a0Orthop Res"},{"issue":"3","key":"10.1016\/j.jos.2020.04.004_bib7","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/BOT.0b013e318038d952","article-title":"Cortical heat generation using an irrigating\/aspirating single-pass reaming vs conventional stepwise reaming","volume":"21","author":"Higgins","year":"2007","journal-title":"J\u00a0Orthop Trauma"},{"issue":"1","key":"10.1016\/j.jos.2020.04.004_bib8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/BOT.0b013e3181b2b4eb","article-title":"Technical tricks when using the reamer irrigator aspirator technique for autologous bone graft harvesting","volume":"24","author":"Quintero","year":"2010","journal-title":"J\u00a0Orthop Trauma"},{"issue":"2","key":"10.1016\/j.jos.2020.04.004_bib9","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.otsr.2012.01.003","article-title":"French Society of Orthopaedics and Traumatic Surgery (SoFCOT). Harvest of cortico-cancellous intramedullary femoral bone graft using the Reamer-Irrigator-Aspirator (RIA)","volume":"98","author":"Masquelet","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"issue":"10","key":"10.1016\/j.jos.2020.04.004_bib10","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1097\/BOT.0000000000000086","article-title":"The reamer-irrigator-aspirator as a device for harvesting bone graft compared with iliac crest bone graft: union rates and complications","volume":"28","author":"Dawson","year":"2014","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.jos.2020.04.004_bib11","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1051\/sicotj\/2017002","article-title":"Bone grafting via reamer-irrigator-aspirator for nonunion of open Gustilo-Anderson type III tibial fractures treated with multiplanar external fixator","volume":"3","author":"Kusnezov","year":"2017","journal-title":"SICOT J"},{"issue":"Suppl 1","key":"10.1016\/j.jos.2020.04.004_bib12","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1097\/BOT.0000000000001195","article-title":"Autologous bone graft harvest using the reamer-irrigator-aspirator","volume":"32","author":"Yee","year":"2018","journal-title":"J\u00a0Orthop Trauma"},{"issue":"Suppl 2","key":"10.1016\/j.jos.2020.04.004_bib13","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.1016\/S0020-1383(10)70008-5","article-title":"Treatment of long bone intramedullary infection using the RIA for removal of infected tissue: indications, method and clinical results","volume":"41","author":"Zalavras","year":"2010","journal-title":"Injury"},{"issue":"4","key":"10.1016\/j.jos.2020.04.004_bib14","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s00068-016-0700-7","article-title":"The use of Reamer-irrigator-aspirator in the management of long bone osteomyelitis: an update","volume":"42","author":"Tosounidis","year":"2016","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"10","key":"10.1016\/j.jos.2020.04.004_bib15","doi-asserted-by":"crossref","first-page":"2042","DOI":"10.1016\/j.injury.2015.07.027","article-title":"Reamer Irrigator Aspirator bone graft harvesting: complications and outcomes in an Asian population","volume":"46","author":"Han","year":"2015","journal-title":"Injury"},{"issue":"Suppl D","key":"10.1016\/j.jos.2020.04.004_bib16","first-page":"24","article-title":"Comparison study between reamed and unreamed nailing of closed femoral fractures","volume":"56","author":"Selvakumar","year":"2001","journal-title":"Med J Malaysia"},{"issue":"1","key":"10.1016\/j.jos.2020.04.004_bib17","first-page":"53","article-title":"The shape and size of femoral components in revision total hip arthroplasty among Chinese patients","volume":"11","author":"Chiu","year":"2003","journal-title":"J\u00a0Orthop Surg"},{"issue":"6","key":"10.1016\/j.jos.2020.04.004_bib18","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.arth.2009.06.024","article-title":"Cementless total hip arthroplasty specifically designed for Asians: clinical and radiologic results at a mean of 10 years","volume":"25","author":"Fang","year":"2010","journal-title":"J\u00a0Arthroplasty"},{"issue":"11","key":"10.1016\/j.jos.2020.04.004_bib19","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1016\/j.injury.2009.07.070","article-title":"Surgical techniques: how I do it? The reamer\/irrigator\/aspirator (RIA) system","volume":"40","author":"Giannoudis","year":"2009","journal-title":"Injury"},{"key":"10.1016\/j.jos.2020.04.004_bib20","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1053\/j.oto.2008.08.001","article-title":"Reamer irrigator aspirator: a new technique for bone graft harvesting from the intramedullary canal","volume":"18","author":"Pape","year":"2008","journal-title":"Operat Tech Orthop"},{"issue":"1","key":"10.1016\/j.jos.2020.04.004_bib21","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/BOT.0b013e31819c0ccb","article-title":"Complications associated with negative pressure reaming for harvesting autologous bone graft: a case series","volume":"24","author":"Lowe","year":"2010","journal-title":"J\u00a0Orthop Trauma"},{"issue":"2","key":"10.1016\/j.jos.2020.04.004_bib22","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1097\/BOT.0b013e3181e39bf4","article-title":"Femoral fracture after harvesting of autologous bone graft using a reamer\/irrigator\/aspirator","volume":"25","author":"Giori","year":"2011","journal-title":"J\u00a0Orthop Trauma"},{"issue":"10","key":"10.1016\/j.jos.2020.04.004_bib23","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1016\/j.injury.2013.06.008","article-title":"Donor site morbidity with reamer-irrigator-aspirator (RIA) use for autogenous bone graft harvesting in a single centre 204 case series","volume":"44","author":"Qvick","year":"2013","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.jos.2020.04.004_bib24","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s00068-013-0345-8","article-title":"More adverse events than expected in the outcome after use of the reamer-irrigator-aspirator","volume":"40","author":"Jakma","year":"2014","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"10","key":"10.1016\/j.jos.2020.04.004_bib25","doi-asserted-by":"crossref","first-page":"e371","DOI":"10.1097\/BOT.0000000000000363","article-title":"Predicting reduction in torsional strength by concentric\/eccentric RIA reaming normal and osteoporotic long bones (femurs)","volume":"29","author":"Lowe","year":"2015","journal-title":"J\u00a0Orthop Trauma"},{"issue":"9","key":"10.1016\/j.jos.2020.04.004_bib26","doi-asserted-by":"crossref","first-page":"e294","DOI":"10.1097\/BOT.0000000000000612","article-title":"Hemorrhagic-induced cardiovascular complications during reamer-irrigator-aspirator-assisted femoral nonunion treatment","volume":"30","author":"Donders","year":"2016","journal-title":"J\u00a0Orthop Trauma"},{"issue":"4","key":"10.1016\/j.jos.2020.04.004_bib27","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/BOT.0000000000000811","article-title":"Is this autograft worth it?: the blood loss and transfusion rates associated with reamer irrigator aspirator bone Graft harvest","volume":"31","author":"Marchand","year":"2017","journal-title":"J\u00a0Orthop Trauma"},{"issue":"4","key":"10.1016\/j.jos.2020.04.004_bib28","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1007\/s00776-014-0572-9","article-title":"Stress fracture of the bowed femoral shaft is another cause of atypical femoral fracture in elderly Japanese: a case series","volume":"19","author":"Oh","year":"2014","journal-title":"J\u00a0Orthop Sci"}],"container-title":["Journal of Orthopaedic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265820301226?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265820301226?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:31:40Z","timestamp":1760556700000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0949265820301226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["S0949265820301226"],"URL":"https:\/\/doi.org\/10.1016\/j.jos.2020.04.004","relation":{},"ISSN":["0949-2658"],"issn-type":[{"value":"0949-2658","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical experience of the use of reamer irrigator aspirator in Japanese patients: A report of the first 42 cases","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedic Science","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jos.2020.04.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}