Galagali Dev Anand, Bhatia Aanchal, Kumar P Ashok, Ajoy S M
Department of Orthopaedics, Ramaiah Medical College and Hospitals, Mathikere, Bangalore, Karnataka 560054 India.
Indian J Orthop. 2023 Jul 20;57(9):1490-1496. doi: 10.1007/s43465-023-00953-z. eCollection 2023 Sep.
Tissue banking includes the process starting from procurement to the distribution and usage of allograft tissues. The use of bone bank in orthopaedics is not widely seen. Our objective is to describe the 10-year allograft donor and recipient data from a fully functioning tissue bank in India, analyse the types of grafts used, indications and demand for various grafts. This will show the need for a tissue bank in a tertiary care orthopaedic setup.
Analysis of donor and recipient data for allografts of a tissue bank in an Indian tertiary care setup was done from 2012 to 2022. The number of grafts procured and used were analysed. The recipient and donor sites were also analysed.
In 10 years, the tissue bank provided 2776 grafts and received 1962 donations. Slices procured after total knee replacements were the most commonly used allografts (28.03%). Acute fracture with bone loss or severe comminution (23.11%) being the most common indication of bone grafting was a major result of our study. Among these, proximal tibia (27.79%) was the most frequent recipient site. Tissue bank has also served patients in neurosurgery, ophthalmology, oromaxillofacial surgery, otorhinolaryngology, urology and wound care.
A tissue bank is a useful setup in tertiary care orthopaedic hospitals. Allografts were most widely used for acute trauma management. Allografts provide large graft quantity and reduce surgical time. Hence a tissue bank is not only an asset to the establishment but also to the surrounding hospitals, to which the grafts can be supplied.
组织库涵盖了从同种异体组织的获取到分发及使用的整个过程。骨库在骨科领域的应用并不广泛。我们的目的是描述印度一家运作良好的组织库10年的同种异体组织供体和受体数据，分析所使用移植物的类型、适应症以及对各种移植物的需求。这将显示在三级骨科医疗环境中建立组织库的必要性。
对印度一家三级医疗机构中一个组织库2012年至2022年的同种异体移植物供体和受体数据进行分析。分析获取和使用的移植物数量。同时也对受体和供体部位进行分析。
在10年时间里，该组织库提供了2776份移植物，接收了1962份捐赠。全膝关节置换术后获取的切片是最常用的同种异体移植物（28.03%）。骨移植最常见的适应症是伴有骨缺损或严重粉碎的急性骨折（23.11%），这是我们研究的一个主要结果。其中，胫骨近端（27.79%）是最常见的受体部位。该组织库还为神经外科、眼科、口腔颌面外科、耳鼻喉科、泌尿外科和伤口护理的患者提供服务。
组织库在三级骨科医院是一个有用的设施。同种异体移植物在急性创伤管理中应用最为广泛。同种异体移植物可提供大量移植物并减少手术时间。因此，组织库不仅是该机构的一项资产，对周边可供应移植物的医院也是如此。
