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|Other Titles: ||Bone transplant|
|Authors: ||San-Julian, M. (Mikel)|
Valenti, A. (Andrés)
|Issue Date: ||2006|
|Publisher: ||Gobierno de Navarra. Departamento de Salud|
|Publisher version: ||http://www.cfnavarra.es/salud/anales/textos/vol29/sup2/suple12.html|
|Citation: ||San Julian M, Valenti A. Trasplante óseo. An Sist Sanit Navar 2006;29 Suppl 2:125-136.|
We describe the methodology of the Bone and Soft Tissue
Bank, from extraction and storage until use.
Since the year 1986, with the creation of the Bone Bank
in the University Clinic of Navarra, more than 3,000 grafts
have been used for very different types of surgery.
Bone grafts can be classified into cortical and
spongy; the former are principally used in surgery to save
tumour patients, in large post-traumatic reconstructions
and in replacement surgery where there are massive
bone defects and a structural support is required. The
spongy grafts are the most used due to their numerous
indications; they are especially useful in filling cavities
that require a significant quantity of graft when the autograft
is insufficient, or as a complement. They are also of
special help in treating fractures when there is bone loss
and in the treatment of delays in consolidation and
pseudoarthrosis in little vascularized and atrophic zones.
They are also used in prosthetic surgery against the presence
of cavity type defects.
Allografts of soft tissues are specially recognised in
multiple ligament injuries that require reconstructions.
Nowadays, the most utilised are those employed in surgery
of the anterior cruciate ligament although they can be used
for filling any ligament or tendon defect.
The principal difficulties of the cortical allografts are
in the consolidation of the ends with the bone itself and in
tumour surgery, given that these are patients immunodepressed
by the treatment, the incidence of infection is
increased with respect to spongy grafts and soft tissues,
which is irrelevant.
In short, the increasingly widespread use of allografts
is an essential therapeutic weapon in orthopaedic
surgery and traumatology. It must be used by expert
|Permanent link: ||http://hdl.handle.net/10171/22674|
|Appears in Collections:||DA - CUN - Cirugía ortopédica y traumatología - Artículos de revista|
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