engleski

Clinical Use of Femoral Head Allografts in Clinic for Traumatology, Zagreb, Croatia: Review of Last Five Years

Femoral head allografts removed as the surgical surplus bone tissue during the total hip arthroplasty procedure represent valuable clinic material, especially if cadaveric grafts are not available. Nevertheless, care must be taken that extensive safety and quality control measures during the femoral heads banking are fulfilled. In the Clinic for traumatology, these allografts are used as the method for repairing large bone defects providing optimal implant fixation and long-term support for the components. We examined the clinical use of femoral head allografts in our Clinic since 2010 in which structural allografts showed best available option for bone defect reconstruction in trauma and orthopaedic, spinal and other surgical procedures. Femoral head allografts were mostly used for different indications of operative grafting procedures in the treatment of proximal and distal tibial and fibular (31, 4%), femoral (29, 27%), humeral (20, 21%), calcaneal, pelvic and vertebral fractures. Proximal tibia fractures included B and C type of fracture were treated with different quality of bone healing results. Femoral head allografts have some drawbacks like lack of the specific osteosynthetic material, low growth potential at recipient’s site and lower quality of the cavernous bone tissue (old donors). Despite all of this, frozen bone allografts provided by our local Tissue Bank are of great importance, particularly in situation where the use of autograft could pose an additional health risk to a patient.

femoral head allografts ; tissue banking ; bone defect reconstraction

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