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Ahead of Print Issue - July 2021, Volume 15, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Are Dropped Bone Grafts Safe to be Re-used? - An Experimental Study Comparing Efficacy of Chlorhexidine, Povidone-Iodine and Alcohol


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  2. Centeno RF, Desai AR, Watson ME. Management of contaminated autologous grafts in plastic surgery. Eplasty. 2008; 8: e23.
  3. Parker RD, Maschke SD. Mechanical Agitation and Serial Dilution–An Option for Anterior Cruciate Ligament Graft Sterilization. J Knee Surg. 2008; 21(3): 186-91.
  4. ackson DW, Windler GE, Simon TM. Intraarticular reaction associated with the use of freeze-dried, ethylene oxide-sterilized bone-patella tendon-bone allografts in the reconstruction of the anterior cruciate ligament. Am J Sports Med. 1990; 18(1): 1-10. doi: 10.1177/036354659001800101
  5. Loty B, Courpied JP, Tomeno B, Postel M, Forest M, Abelanet R. Bone allografts sterilised by irradiation. Int Orthop. 1990; 14(3): 237-42. doi: 10.1007/BF00178752
  6. Smith WS, Struhl S. Replantation of an autoclaved autogenous segment of bone for treatment of chondrosarcoma. Long-term follow up. J Bone Joint Surg Am. 1988; 70(1): 70-5.
  7. Presnal BP, Kimbrough EE. What to do about a dropped bone graft. Clin Orthop Relat Res. 1993(296): 310-1.
  8. Bruce B, Sheibani-Rad S, Appleyard D, Calfee RP, Reinert SE, Kimberle Chapin KC, et al. Are dropped osteoarticular bone fragments safely reimplantable in vivo? J Bone Joint Surg Am. 2011; 93(5): 430-8. doi: 10.2106/JBJS.J.00793
  9. Yazdi H, Shirazi MR, Shouli OM, Yazdi F, Moslem A. Effect of three different sterilizing solutions on the contaminated bone: an experimental study in the rabbit. Med J Islam Repub Iran. 2012; 26(3): 114-7.
  10. Bauer J, Liu RW, Kean TJ, Dennis JE, Petersilge W, Gilmore A. A comparison of five treatment protocols for contaminated bone grafts in reference to sterility and cell viability. J Bone Joint Surg Am. 2011; 93(5): 439-44. doi: 10.2106/JBJS.J.00418
  11. Hooe W, Steinberg B. Management of contaminated bone grafts: an experimental in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 82(1): 34-7. doi: 10.1016/S1079-2104(96)80374-X
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  13. Burd T, Conroy BP, Meyer SC, Allen WC. The effects of chlorhexidine irrigation solution on contaminated bone-tendon allografts. Am J Sports Med. 2000; 28(2): 241-4. doi: 10.1177/03635465000280021601
  14. Soyer J, Rouil M, Castel O. The effect of 10% povidone–iodine solution on contaminated bone allografts. J Hosp Infect. 2002; 50(3): 183-7. doi: 10.1053/jhin.2001.1153
  15. Cruz NI, Cestero HJ, Cora ML, Management of contaminated bone grafts. Plast Reconstr Surg. 1981; 68(3): 411-4.
  16. Bachner EJ, Parker RD, Dul M. Management of contaminated bone-tendon grafts: Incidence of positive cultures and efficacy of three methods of decontamination of ACL grafts. Orthop Trans. 1993; 17: 1187-8.
  17. Khan SA, Kumar A, Varshney MK, Trikha V, Yadav C. Accidentally falling instruments during orthopaedic surgery: time to wake up! ANZ J Surg. 2008; 78(9): 794-5. doi: 10.1111/j.1445-2197.2008.04652.x
  18. Singh K, Dar FA, Kishor K. Bacterial contamination in operating theatres of district hospital Budgam in Kashmir division. IJMHS. 2013; 3(2): 62-3.
  19. Russell AD, Day MJ. Antibacterial activity of chlorhexidine. J Hosp Infect. 1993; 25(4): 229-38. doi: 10.1016/0195-6701(93)90109-d
  20. Foresman PA, Payne DS, Becker D, Lewis D, Rodeheaver GT. A relative toxicity index for wound cleansers. Wounds. 1993; 5(5): 226-31.
  21. Cabral CT, Fernandes MH. In vitro comparison of chlorhexidine and povidone–iodine on the long-term proliferation and functional activity of human alveolar bone cells. Clin Oral Investig. 2007; 11(2): 155-64. doi: 10.1007/s00784-006-0094-8.
  22. Gable T. Bactericidal effectiveness of floor cleaning methods in a hospital environment. Hospitals. 1966; 40(4): 107-11.

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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