Audit of a bone bank

TitleAudit of a bone bank
Publication TypeJournal Article
Year of Publication1993
AuthorsIvory JP, Thomas IH
JournalJ Bone Joint Surg Br
Pagination355 - 7
Date PublishedMay
ISSN0301-620X (Print) 0021-9355 (Linking)
Accession Number8496199
KeywordsAdolescent, Adult, Aged, Bone Transplantation / adverse effects / *standards, Femur Head / *transplantation, Humans, Infection / epidemiology / etiology, Mass Screening / methods / standards, Medical Audit, Middle Aged, Organizational Policy, Pilot Projects, Retrospective Studies, Surgical Wound Infection / epidemiology / etiology, Tissue and Organ Procurement / methods / standards, Tissue Banks / *standards, Tissue Donors, Tissue Preservation / methods / standards, Transplantation, Homologous / adverse effects / *standards

The results are reported of an audit of allografts collected in the first 18 months of the Leicester Bone Bank. We retrieved 161 femoral heads at primary arthroplasty of which 103 were implanted into 59 patients. There were deep infections in two recipients and wound infections in five. In two of these cases, culture of the femoral head at implantation was positive but the organisms grown were not those which caused the clinical infection. We retrieved 22 large allografts from six cadavers. Four of these were contaminated at retrieval and required irradiation for sterilisation. There has been one clinical infection in the nine large allografts implanted so far. We recommend that all bone banks undertake prospective audit to ensure that high standards are maintained and wastage minimised.

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