Incidence of infection with the use of non-irradiated morcellised allograft bone washed at the time of revision arthroplasty of the hip

Author:

Kwong F. N. K.1,Ibrahim T.1,Power R. A.1

Affiliation:

1. Department of Orthopaedic Surgery, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Groby Road, Leicester LE3 9QP, UK.

Abstract

Implantation of allograft bone is an integral part of revision surgery of the hip. One major concern with its use is the risk of transmission of infective agents. There are a number of methods of processing allograft bone in order to reduce this risk. One method requires washing the tissue using pulsed irrigation immediately before implantation. We report the incidence of deep bacterial infection in 138 patients (144 revision hip arthroplasties) who had undergone implantation of allograft bone. The bone used was fresh-frozen, non-irradiated and pulse-washed with normal saline before implantation. The deep infection rate at a minimum follow-up of one year was 0.7%. This method of processing appears to be associated with a very low risk of allograft-related bacterial infection.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference21 articles.

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2. Sutherland AG, Raafat A, Yates P, Hutchison JD. Infection associated with the use of allograft bone from the North East Scotland Bone Bank. J Hosp Infect 1997;35:215–22.

3. BIOMECHANICAL PROPERTIES OF CORTICAL ALLOGRAFT BONE USING A NEW METHOD OF BONE STRENGTH MEASUREMENT

4. Power RA, Day RE, Wood DJ. The effects of gamma irradiation on the biomechanical properties of human cortical bone. J Bone Joint Surg [Br] 1995;77-B(Supp III): 321.

5. Femoral impaction grafting in revision hip arthroplasty with irradiated bone

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