Kemik Bankası Ve Allogreft Uygulaması

Bone Banking and Allograft Studies For many years, bone banks have supplied surgeons with allograft bone. These banks have provided chiefly freeze-dried bone, which has been of great value to orthopaedists. Bone bank studies in Karadeniz Technical University Medical Faculty Department of Orthopaedics and Traumatology were started at January 1998. Between January 1998 and May 2000,150 allografts were collected for bone bank (100 from total hip prosthesis, 35 from total knee prosthesis, 8 from femoral neck fracture, 4 from shortening osteotomy, 3 from'high-tibial osteotomy). Allografts from bone bank were used in 97 cases for several indications. Mean age was 38 years (range 4-75). In this study, the aim of the construction of the bone bank, graft harvesting, keeping, using and results are reported. Our study correlates well with the other studies in the literature that, deep-frozen allografts shorten operation time, easy to use, safe, economic, high osteogenic potential, decreased blood loss, decreased donor site morbidity, good alternatives to autogenous grafts. Kemik bankalari yillardir allogreft saglamaktadir. Bu dondurulmus greftin ortopedistlerce buyuk degeri vardir. Klinigimizde kemik bankasi Ocak 1998'de faaliyete baslamistir. Ocak 1998- Mayis 2000 tarihleri arasinda 150 allogreft (100 tanesi total kalca protezi, 35 tanesi total diz protezi, 8 tanesi femur boyun kingi. 4 tanesi kisaltma osteotomisi, 3 tanesi yuksek tibial osteotomi vakalarinda) bankamiza kaydedildi. Cesitli endikasyonlarda toplam 97 vakada allogreft kullanildi. Alicilarin ortalama yasi 38 idi. Bu calismada klinigimizde kurdugumuz kemik bankasinin amaci, greft elde etme, saklama, kullanma sartlan ve sonuclari sunulmustur. Derin dondurulmus allogreftlerin ameliyat suresini kisaltmasi, kullanim kolayligi, yararli, guvenilir, ekonomik, osteojenik aktiviteyi artirmasi kan kaybini azaltmasi, donor saha morbiditesini azaltmasi ve otojen grefte iyi bir alternatif olmasi gibi ozelikleri pek cok calismada vurgulandigi gibi bizim de calismamizda goze carpan ozelliklerdi