Adverse Occurrence type:
Alerting signals, symptoms, evidence of occurrence:
Donated femoral head for bone grafting, would have been transplanted but by histological examination resulted in discard. Not a routine procedure at the time.
Demonstration of imputability or root cause:
Histological examination of femoral head
Palmer, S.H.; Gibbons, C.L.; Athanasou, N.A. The pathology of bone allograft J Bone Joint Surg Br 1999; 81 (2) :333 - 5