Chahbouni Mohammed, Rami Amal, Morhit Mohammed El, Kharmaz Mohammed, Berrada Mohammed Salah, Yaacoubi Moradh El
Faculty of Medicine and Pharmacy, Mohammed-V University, Rabat, Morocco.
Pan Afr Med J. 2018 Apr 11;29:210. doi: 10.11604/pamj.2018.29.210.14343. eCollection 2018.
For a long time the use of bone grafting has demonstrated its interest in orthopedic surgery and traumatology. The autografts which are still very frequently used present various problems. On the one hand, it is necessary to find a correct mechanical quality and a sufficient quantity of bone. On the other hand, the graft removal lengthens the operative time and generally painful in postoperative. These disadvantages of autografts have led to the development of bone allografts. Indeed, the low immunogenic power of the bone, the good integration of the graft and the ease of bone preservation techniques make it possible to overcome the various problems posed by bone autografts. The increasing use of bone allografts has resulted in the need for a structure allowing the management of graft stocks. The purpose of this work is to demonstrate the mode of operation of a bone bank, whose conservation activity is limited to the femoral heads treated by cryopreservation and without secondary sterilization process. The bank collaborates with all orthopedic surgeons in the Rabat and Casablanca city at first and then with all orthopedic surgeons in Morocco. It provides allografts in quality and safety.
长期以来,骨移植在骨科手术和创伤学领域的应用已展现出其价值。目前仍被频繁使用的自体骨移植存在诸多问题。一方面,需要找到具有合适力学性能且数量充足的骨。另一方面,取骨操作会延长手术时间,且术后通常较为疼痛。自体骨移植的这些缺点促使了同种异体骨移植的发展。事实上,骨的低免疫原性、移植物的良好整合以及骨保存技术的便利性使得克服自体骨移植带来的各种问题成为可能。同种异体骨移植使用的增加导致需要一个管理移植物库存的结构。这项工作的目的是展示一个骨库的运作模式,其保存活动仅限于通过冷冻保存且无二次灭菌过程处理的股骨头。该骨库首先与拉巴特和卡萨布兰卡市的所有骨科医生合作,然后与摩洛哥的所有骨科医生合作。它提供质量可靠且安全的同种异体骨移植材料。