18. Musculoskeletal tissue banking Flashcards

1
Q

Dafaq is plus life?

A

Retrieve bone and tissue for transplant Legit bones Not barrow Real shit

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2
Q

What are the two donor programs at plus life?

A

Living donor - Hip replacement - Femoral head usually discarded ~800 per year Cadaveric Program - Donation of long bones and tendons -Donate life refferals - ~12 per year

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3
Q

What is the overview flowchart?

A

Refferal Donor screening Retrieval Testing Processing Testing Irradiation Release Distribution Implant

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4
Q

What does cadaveric processing entail?

A

Removal of extraneous muscle and CT Cut into different sizes

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5
Q

What is validation?

A

Validate equipment?

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6
Q

What do you use musculoskeletal grafts for?

A

Orthopedics - Wear - Joint replacement -Infection - Fracture -Osteosarcoma -Fusion -Tendon/ligament reconstruciton Urology Maxillo-facial

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7
Q

What happened with harry?

A

Osteosarcoma Removed shoulder joint Bone bank had replacement GG

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8
Q

What is bone made from?

A

70% inorganic (Calcium) 30 % organic (Collagen

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9
Q

What are the ideal properties of a bone graft?

A

Osteoconductive Osteoinductive Osteogenic Non-immunogenic Available Easy to use Affordable Fit for purpose Structural integrity Biologically safe Low risk of disease tranmission

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10
Q

What is Osteoconduciton?

A

Growth of bone through a scaffold

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11
Q

What is osteoinduction?

A

Active/Passive Promotion of bone formation BMPS induce Make osteoblasts from osteoprogenitor cells What is passive bone formation Induction of of bone formation due to morphology etc

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12
Q

What is osteogeneis?

A

Normal bone formation

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13
Q

What are the pros of an autograft?

A

Cost effective Osteoconductive Osteoinductive Osteogenic Non-immunogenic No risk of disease transmission

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14
Q

What are cons of autograft?

A

Donor site morbidity Availability Longer surgery Structure Suitability

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15
Q

What are the pros of a allografts?

A

Cost effective Osteoconductive Can be fit for purpose

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16
Q

What are cons of allografts??

A

Non osteogenic Limited osteoinduction

17
Q

What are demineralised bone matrix?

A

Allograft had had mineral phase removed Tissue exposed to strong acids Variable osteoinductivity

18
Q

What are pros of Demineralised Bone matrix?

A

Osteoconductive Osteoinductive Can be fit for purpose Can be used with carrier

19
Q

What is cons of DBM?

A

Not osteogenic Expensive Low risk of disease transmission Structural integrity Reaction to carriers

20
Q

What are biological summary of different grafts / bone treatments?

A

What is BMA? = Bone marrow aspirate

  • Take cells from iliac cells