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KMID : 0922220130130010030
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Journal of the Korean Musculoskeletal Transplantation Society
2013 Volume.13 No. 1 p.30 ~ p.34
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Status of Bone Donation Among Patients Undergone Knee or Hip Replacement Surgery
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Jeong Jin-Young
Kim Tae-Ho
Park Bo-Youn
Song Ha-Jung
Jeong jae-Hyeon
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Abstract
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Purpose: The purpose of this study was to investigate the status of bone tissue donation among patient undergone knee or hip replacement surgery and to know the method to increase tissue donation.
Materials and Methods: The medical record of three hundred forty two patients who underwent total knee replacement arthroplasty, total hip replacement arthroplasty, or hip hemiarthroplasty in this hospital between January 2011 and December 2012 were retrospectively reviewed. Patient characteristics including age, sex, and type of surgery, intension of tissue donation, and reasons of decision making for donation were evaluated.
Results: Three hundred-forty-two patients (77 men, 265 women) underwent total knee replacement arthroplasty (N=149), ’total hip replacement arthroplasty (N=67), & hip hemiarthroplasty (N=126). The mean age was 69.7 years. Seventy-seven (22.5%) of the 342 patients were male, and 265 (77.5%) were female. mean age was 69.7 years. One hundred-nine (31.9%) of 342 patients made donation of bone tissue but two hundred-thirty-three (68.1%) patients did not. Among 233 patients who did not donate, one hundred-ninety-five (83.7%) patients were excluded for donation due to the conditions including old age, hepatitis, syphilis, AIDS, tuberculosis,
dementia, cancer, high titer of Rheumatoid factor. The other 38 (16.3%) patients did not have any conditions of contraindication for donation, however, 26 (11.2%) of 38 patients refused after the preoperative explanation for tissue donation and 12 (5.2%) patients did not show up on secondary blood test postoperatively.
Conclusion: The vast majority of patients undergone arthroplasty were favorable for donation of tissues. However, not a few patients made decision not to donate even though they did not have any conditions of contra-indications of donation. Thus, the donation of tissue should be further increased through the promotion and education of the necessity and positive aspect of tissue donation.
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KEYWORD
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Tissue donation, Tissue bank, Arthroplasty, Bone transplantation
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