Kakaiya R M, Jackson B
American Red Cross Transplantation Services, St. Louis, Missouri 63108.
Clin Orthop Relat Res. 1990 Feb(251):290-4.
The findings of a survey of 12 regional programs engaged in collection, storage, and distribution of surgical bone grafts are described in this report. In approximately one year, 1944 grafts (mostly femoral heads) were collected. The overall discard rate for the grafts was 30%. An unacceptable medical history, and laboratory evidence of positive screening tests for hepatitis B surface antigen and human immunodeficiency virus (HIV) antibodies accounted for 34.0%, 3.4%, and 1.2% of the discard rate, respectively. Eighty-seven percent of the grafts were used for three surgical procedures, i.e., revision hip surgery, spinal fusions, and treatment of nonunited fractures. The practices and experiences of the regional program described in this report of surgical bone collection and transplantation appear to be similar to those previously described for the community-hospital-based institutional programs. Regional programs represent an alternative approach to institutional programs in surgical bone banking.
本报告介绍了一项针对12个从事外科骨移植收集、储存和分发工作的区域项目的调查结果。在大约一年的时间里，共收集了1944块移植物（主要是股骨头）。这些移植物的总体丢弃率为30%。不可接受的病史以及乙肝表面抗原和人类免疫缺陷病毒（HIV）抗体筛查试验呈阳性的实验室证据分别占丢弃率的34.0%、3.4%和1.2%。87%的移植物用于三种外科手术，即髋关节翻修手术、脊柱融合手术和治疗骨折不愈合。本报告中描述的区域项目在外科骨采集和移植方面的做法和经验似乎与之前描述的社区医院机构项目的做法和经验相似。区域项目是外科骨库机构项目的一种替代方法。
