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[Using autoclaved spongiosa]

E H Kuner1, W Schlickewei, M Huber-Lang

  • 1Abteilung Unfallchirurgie, Chirurgische Universitätsklinik Freiburg.

Der Unfallchirurg
|December 29, 1998
PubMed
Summary
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Autoclaving allogenic cancellous bone offers a sterile, biocompatible, and osteoconductive bone graft alternative. While biologically inferior to other methods, it proves suitable for select indications, requiring further research into ultrastructural changes.

Area of Science:

  • Biomaterials Science
  • Orthopedic Surgery
  • Tissue Engineering

Context:

  • Transmission of Human Immunodeficiency Virus (HIV) via allogenic bone grafts necessitates reconsidering preservation methods.
  • Existing cryopreservation guidelines are resource-intensive (labor, time, cost).
  • Autoclaving presents a potential alternative for processing allogenic cancellous bone.

Purpose:

  • To evaluate autoclaving as a method for processing allogenic cancellous bone for grafting.
  • To assess the characteristics and suitability of autoclaved cancellous bone for clinical use.
  • To identify areas for further investigation regarding the effects of autoclaving on bone tissue.

Summary:

  • Allogenic cancellous bone, harvested from femoral heads, is cleaned and autoclaved at 134°C and 2.5 atm.

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  • This process removes organic matter, rendering the bone sterile, biocompatible, and osteoconductive, preserving its anorganic architecture.
  • While biologically less effective than autogenic or cryopreserved bone, autoclaved grafts are suitable for specific indications.
  • Impact:

    • Autoclaved cancellous bone provides a readily available, sterile bone graft material.
    • It serves as a viable substitute in selected orthopedic procedures, reducing reliance on more complex preservation methods.
    • Further research is needed to fully understand ultrastructural changes and identify specific proteins affected by autoclaving.