Current scenario and challenges for bone retrieval for allograft use in North India
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232005Keywords:
Bone bank, Allograft, Organ and tissue transplantAbstract
Bone grafts are the second most common tissue transplanted. With advances in the treatment of musculoskeletal tumors, limb salvage surgery, with its concomitant demand for bone graft, has increased significantly. This study aims to evaluate current scenario for bone donation in north India. This study was done in bone bank, Government Medical College, Kota, Rajasthan. Inclusion and exclusion criteria of bone donors were followed as per the APASTB standards of tissue banking. Bone was retrieved from deceased donor and live donors after proper consent and counselling in this institute during period 01 January 2021 to 31 January 2022. During the period of study bones were retrieved from 26 donors – 24 live donors and 2 cadavers. Out of 24 live donors 20 were femoral head, 2 tibia and fibula and 2 hemi-radius and hemi-ulna. All donors were between 28-71-year age group and mean age was 56 years. 18 males and 8 females participated in study. There is huge difference between demand and supply of bone allograft in this region of country. There is lack of initiative from government for encouraging people to donate bone along with other organ and tissue donations. Lack of infrastructure for to and fro transport of bone retrieval from deceased and live donors to storage unit results in loss of bone samples. Less trained personnel and sufficiently low coordination between various institutes. Concerns of family members and misconceptions to be addressed properly to reduce morbidity burden in society.
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