There is a huge demand for bone graft at our hospital due to the enormous number of polytrauma and tumor patients who need complex reconstructive procedures.The Tissue Bank at the Department of Orthopedics at the Ganga Hospital was launched with the technical assistance from Tissue Bank at the Tata Memorial Hospital Mumbai. Located within the hospital premises, it is a self-funded, non-profit tissue bank aimed at providing class leading service. It is only the third tissue bank in India to use Gamma irradiation as a method of sterilization . The bank follows International Atomic Energy Agency (IAEA) standards followed by most of the Tissue banks in the world.
The bank is currently using well processed and gamma irradiated cortico cancellous bone allografts from tibial slices and femoral heads, bones from amputated stumps in various clinical conditions like comminuted fractures and Non-unions with bone loss of both upper & lower limbs, revision joint replacement surgeries, tumour and spinal fusion surgeries. The grafts are screened for HIV, HCV, HBV and syphilis to eliminate risk of disease transmission. Dr. P. Dhanasekara Raja has received the Degree of Diploma in Tissue banking from National University of Singapore. Dr. A Devendra is the Scientific Officer in charge of preparation, processing, storage and transportation of the allografts. He has received training in the Tata Memorial Bone Bank in Mumbai and has also undergone training in the National University, Singapore.
Clinical Examples :
Case No: 1
Case No 2:
Segmental Non union of femur: Plating and bone grafting with allografts in a 25yrs old gentleman presented with segmental fracture of right femur, treated initially by Closed interlock nailing followed by bone grafting with both auto and allografts. Fracture united well.
Case No 3:
A small wound but 14cms of bonegap initially treated with External fixator followed by 14cms of Distal femur allograft and Locking plate fixation.
Case No 4:
A 40yrs old gentleman with distal tibia recurrent GCT treated with Radical Excision and distal tibia allograft along with cancellous grafts and Retrograde nail arthrodesis.
Case No 5:
in femur treated by modified Cappanna Technique( Allograft and Vascularised free fibula21cm Bonedefect)