Histopathology of retrieved allografts of the femoral head

S. Sugihara, A. D. Van Ginkel, T. U. Jiya, B. J. Van Royen, P. J. Van Diest, P. I J M Wuisman

Research output: Contribution to journalArticlepeer-review

Abstract

From November 1994 to March 1997, we harvested 137 grafts of the femoral head from 125 patients for donation during total hip arthroplasty according to the guidelines of the American Associations of Tissue Banks (AATB) and the European Association of Musculo-Skeletal transplantation (EAMST). In addition to the standards recommended by these authorities, we performed histopathological examination of a core biopsy of the retrieved bone allograft and of the synovium. Of the 137 allografts, 48 (35.0%) fulfilled all criteria and were free for donation; 31 (22.6%) were not regarded as suitable for transplantation because the serological retests at six months were not yet complete and 58 (42.3%) were discarded because of incomplete data. Of those discarded, five showed abnormal histopathological findings; three were highly suspicious of low-grade B-cell lymphoma, one of monoclonal plasmacytosis and the other of non-specific inflammation of bone marrow. However, according to the standards of the AATB or EAMST they all met the criteria and were eligible for transplantation. Our findings indicate that the incidence of abnormal histopathology in these retrieved allografts was 3.6%. Since it is essential to confirm the quality of donor bones in bone banking, we advise that histopathological screening of donor bone should be performed to exclude abnormal allografts.

Original languageEnglish (US)
Pages (from-to)336-341
Number of pages6
JournalJournal of Bone and Joint Surgery - Series B
Volume81
Issue number2
DOIs
StatePublished - Mar 1999
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint

Dive into the research topics of 'Histopathology of retrieved allografts of the femoral head'. Together they form a unique fingerprint.

Cite this