Abstract
The demand for organ transplantations greatly exceeds the number of organ donors (OD) and it is likely that this discrepancy will continue. There is a continuously growing demand for biostatic allogenic bone transplantation mostly for orthopedic reconstructions. The bone material is predominantly harvested during postmortem examinations in forensic medicine departments. The collected amounts are not enough so the material need to be acquired from other sources. Bone collecting from OD seems to be the optimal solution. Between January 2000 and December 2005, 1,883 out of 2,601 organ donors fulfilled the criteria for bone donation, but only 42 bone harvesting (BH) were performed being only 2.22% of all suitable cases. The main reasons for so few bone procurements were: lack of acceptance of bone procurement by relevant part of donors’ families, insufficient cooperation between tissue banks and transplantation teams, lack of equipment for BH, and no experience in bone procurement.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bettin D, Harms C, Polster J, Niemeyer T (1998) High incidence of pathogenic microorganisms in bone allografts explanted in the morgue. Acta Orthop Scand 69:311–314
Bohatyrewicz A, Bohatyrewicz R, Mazur R, Białecki P, Larysz D, Kedzierski M, Dziedzic-Gocławska A (2002) Regional program for bone allograft harvesting following multiorgan procurement in Pomeranian Academy of Medicine in Szczecin. Cell Tissue Bank 3:55–58
Dziedzic-Gocławska A, Kamiński A, Uhrynowska- Tyszkiewicz I, Stachowicz W (2005) Irradiation as a safety procedure in tissue banking. Cell Tissue Bank 6:201–219
Galea G, Kopman D, Graham BJ (1998) Supply and demand of bone allograft for revision hip surgery in Scotland. J Bone Joint Surg Br 80:595–599
Hansen CA, Mejdahl S, Reimann I (1994) Bone banking in Denmark, results of nationwide survey. Dan Med Bull 41:595–599
Miranda B, Vilardell J, Grinyo JM (2003) Optimizing cadaveric organ procurement: the Catalan and Spanish experience. Am J Transplant 3:1185–1187
Moore TM, Artal R, Arenas M, Gendler E (1990) Influence of postmortem time and temperature on osteoinductive activity of demineralized microperforated ethylene oxide-sterilized syngeneic bone implant in the rat. Clin Orthop Relat Res 259:239–244
Rowiński WA, Wałaszewski JE (1996) Organizational aspects of organ procurement. Ann Transplant 1:61–64
Salai M, Dudkiewitz I, Amit Y, Chechick A, Ganel A (2000) Versatile utilization of massive bone allografts in orthopedic surgery. Cell Tissue Bank 1:223–227
Salim A, Velmahos GC, Brown C, Belzberg H, Demetriades D (2005) Aggressive organ donor management significantly increases the number of organs available for transplantation. J Trauma 58:991–994
Tomford WW (2000) Bone allografts: past, present and future. Cell Tissue Bank 1:105–109
Yazdi M, Bernick S, Paule WJ, Nimni ME (1991) Postmortem degradation of demineralized bone matrix osteoinductive potential. Effect of time and storage temperature. Clin Orthop Relat Res 262:281–285
Author information
Authors and Affiliations
Corresponding author
Additional information
This paper was presented and discussed at the 14th International Congress of the European Association of Tissue Banks in Florence, Italy (8–11 December, 2005).
Rights and permissions
About this article
Cite this article
Bohatyrewicz, A., Bohatyrewicz, R., Kamiński, A. et al. Limitations of Bone Harvesting from Organ Donors in Poland. Cell Tissue Banking 8, 59–62 (2007). https://doi.org/10.1007/s10561-006-9017-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10561-006-9017-9