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Three years' audit of a bone bank
O Korkala1, M Jokinen, A Matikainen
1Department of Surgery, City Hospital, Lahti, Finland.
Insights
A hospital bone bank successfully provided 121 bone allografts for various orthopedic procedures. This non-commercial service facilitated hip/knee revisions, nonunions, and fracture treatments with a low complication rate.
Area of Science:
- Orthopedics
- Tissue Banking
- Musculoskeletal Surgery
Background:
- Hospital-based bone banks are crucial for providing allografts for complex orthopedic procedures.
- Non-commercial operations ensure cost-effectiveness and accessibility of bone grafts.
- Effective bone allograft utilization requires careful collection, storage, and application.
Purpose of the Study:
- To present the three-year practice of a hospital-based non-commercial bone bank.
- To evaluate the outcomes and complications of using bone allografts in various orthopedic applications.
- To assess the feasibility and success of a non-profit bone allograft service.
Main Methods:
- Collection of 121 bone allografts from primary hip arthroplasties over three years.
- Storage of allografts via fresh-freezing at -80°C.
- Review of 41 allograft recipient patients for indications, outcomes, and complications.
Main Results:
- Allografts were primarily used for revision hip/knee arthroplasties, nonunions, and complex fractures.
- Successful union was achieved in 7/10 nonunion cases.
- Only 1/19 revision arthroplasty patients required reoperation; three unrelated infections occurred.
- Overall complication rate was low, with infections resolving without surgical intervention.
Conclusions:
- Hospital-based non-commercial bone banks can effectively supply allografts for diverse orthopedic needs.
- Bone allografts demonstrate a favorable safety and efficacy profile in revision arthroplasty and complex reconstructions.
- The non-profit model is viable for facilitating bone allograft use in orthopedic surgery.
Abstract:
A three years' practice of a hospital-based non-commercial bone bank is presented. Altogether 121 allografts were collected from primary hip arthroplasties for osteoarthritis. Altogether 41 of the grafts were used in our hospital, 47 grafts were transported to other hospitals at a non-profit basis. The grafts were stored fresh-freezed at -80 degrees C. The allograft recipient patients in our hospital were reviewed. Main indication for the use of allografts was revision arthroplasty of the hip or knee. Other indications included difficult nonunions, arthrodeses of the knee or spine, difficult major primary fractures in osteoporotic bone and a large bone cyst. Of the nonunions, 3/10 failed to unite and of the revision arthroplasties, 1/19 had to be reoperated on. Three infections were recorded, all of which were unrelated to the allograft transplantation. The infections all healed without surgical intervention.