Article

Musculoskeletal allograft risks and recalls in the United States

Neuroscience Institute, Center for Spine Health, The Cleveland Clinic, OH 44195, USA.
The Journal of the American Academy of Orthopaedic Surgeons (Impact Factor: 2.4). 11/2008; 16(10):559-65.
Source: PubMed

ABSTRACT There have been several improvements to the US tissue banking industry over the past decade. Tissue banks had limited active government regulation until 1993, at which time the US Food and Drug Administration began regulatory oversight because of reports of disease transmission from allograft tissues. Reports in recent years of disease transmission associated with the use of allografts have further raised concerns about the safety of such implants. A retrospective review of allograft recall data was performed to analyze allograft recall by tissue type, reason, and year during the period from January 1994 to June 30, 2007. During the study period, more than 96.5% of all allograft tissues recalled were musculoskeletal. The reasons underlying recent musculoskeletal tissue recalls include insufficient or improper donor evaluation, contamination, recipient infection, and positive serologic tests. Infectious disease transmission following allograft implantation may occur if potential donors are not adequately evaluated or screened serologically during the prerecovery phase and if the implant is not sterilized before implantation.

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    • "no need for additional surgery, " off the shelf " availability, size of graft material). However, significant drawbacks such as worldwide donor shortage (Greenwald et al., 2001) and associated risk of disease transmission (Mroz et al., 2008) ensure that allografting is insufficient as a viable long-term approach to bone autografting. Focus has recently switched towards the use of alternative approaches to attempt to promote and facilitate the body's own bone tissue healing ability. "
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