Wednesday 24 February 2021  

1 Specifications for the establishment of bone bank.

 

1.1 Technical staff:
1.1.1 Consultant in orthopedics.

There must be a consultant in orthopedic surgery, with at least five years experience in the field of orthopedic surgery and not less than two years in bone transplantation and experience of not less than two years in an administrative position, and is still involved in the practice of orthopedic surgery.

1.1.2 Bone bank coordinator.
Must have obtained a university degree in nursing or equivalent health specialty, preferably with experience in the field of surgical procedures, especially orthopedics operations for at least five years, and has obtained a formal training in a specialized institution on the procurement of human bones as well as its storing, processing and disinfection, and has obtained a formal training in disinfection procedures and the processes that need to be handled in a sterile manner, and be familiar with the rules and international standards in the field of transplantation of bones and human tissue, preferably those who had training in the field of data processing and information saving.

1.1.3 Bone bank technician.
Must have obtained a university degree in nursing or equivalent health specialty, preferably with experience in the field of surgical procedures that deal with human tissue, and also preferably with experience in the field of human organ tissue transplantation and has experience (or formal training) in the procurement of human bones as well as its storing, processing and disinfection.
The number of workers in the bone bank would depend on its size and the work load expected in it.

 

1.2 Technical equipment and facilities required in the bone bank:**

The bone bank should be created in a specific manner for storing and processing of human bones, and each section should be equipped with the following:
1.2.1 The bone bank is divided into two zones:
1.2.1.1 A non-clean zone:
It is the zone that contains the customized freezers to save human bones according to international standards, and also contain staff offices and places for keeping donor records and other documents needed to run the bone bank.

1.2.1.2 A clean zone.
This is an isolated sterilized zone in which bone samples are processed in a completely sterile manner, this area contains a room for bone processing in a completely sterile manner, including the packaging of the processed bone and taking samples to ensure the absence of any bacteria that can be transferred to bone recipients. The zone also contains a clean room to label necessary information on each patch. The sterile zone has a room to store materials needed in the bone bank.

**The specific devices in the bone bank differ in each stage of bone processing.

 

1.3 Supportive medical departments:
The hospital in which bone bank will be established must contain other necessary departments for the bone bank or outsourcing such services.

 

1.4 Laboratory department:
As the bone bank needs to use the services provided by this department for the different samples from bone donors and harvested bones, including blood samples or surgical swabs or samples of harvested bone or any other samples to be tested in the laboratory department.

 

1.5 Radiology department:
Imaging for every bone harvested from the bone donors by X-ray to make sure the harvested bone is free from disease.

 

1.6 Disinfection department:
The bone bank benefits from the services of the disinfection department by sending equipment and surgical instruments used in harvesting procedure and in bone processing in order to be cleaned, packaged and disinfected.

 

1.7 Gamma ray disinfection department:
Processed bones are sterilized using gamma ray disinfection, according to international standards for the disinfection of human tissue. Thus the produced bone grafts are totally disinfected by gamma rays.

 

1.8 A source to supply dry ice when it is needed by the bone bank:
This source may be a third-party dry ice manufactures according to the needs of bone bank, and this dry ice is indispensable in the bone bank.

 

2 Surgical operations which require bone transplantation the so-called bone patching process:

The type and shape of the skeletons patch needed depends on the type of surgical procedure; there are surgical procedures that need an integral part of a specific bone (such as the top of the femur, the bottom of the femur, upper leg bone, the top of the forearm, and others), there are surgical procedures that need various forms of bone, which may be in the form of crushed bone, certain shapes and sizes of bone pieces. The type of process determines the shape of the bone needed.

3 Surgical indications for bone transplantation:

3.1 Restoration of the joints: the restoration of the top of the femur and pelvis joints.
3.2 The removal of bone tumor: the top of the femur, the bottom of the femur, part of the pelvic bone, and the upper bone forearm.
3.3 Fix and repair operations for congenital hip dislocation in children, using parts of bone that were previously prepared from the pelvic region.
3.4 Fixing spine deviation, where crushed bone is needed in such operations.
3.5 Operations related to knee ligaments such as the repair of cruciate ligament.

This is in addition to other orthopedic surgical operations that require different forms of bone.