0
Journal Contents   |    
Sterilization of Preserved Bone Grafts by High-Voltage Cathode Irradiation
T. C. Turner; C. A. L. Bassett; J. W. Pate; P. N. Sawyer; J. G. Trump; Kenneth Wright
View Disclosures and Other Information
Naval Medical Research Institute and Tissue Bank, National Naval Medical Center, Bethesda, Maryland High Voltage Research Laboratory, Massachusetts Institute of Technology, Cambridge
1956 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1956; 38:862-884 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. A dose of 1.0 million roentgen equivalent physicals of high-voltage cathode irradiation will adequately sterilize one-eighth-inch-thick sections of freeze-dried and frozen animal bone after bacteriological contamination with Staphylococcus aureus (F.D.A. 209).

2. This sterilizing dose does not significantly impair graft healing in the dog.

3. Cathode irradiation of dog-bone grafts at 2.0 to 6.0 million roentgen equivalent physicals results in some impairment of healing in freeze-dried grafts; whereas, it appears to accelerate the healing of frozen grafts. This advantage for frozen irradiated bone is out-weighed by the superior rate of incorporation of freeze-dried as compared with that of frozen grafts.

4. Irradiation causes gross and microscopic changes in bone grafts. These consist primarily of a yellow discoloration prior to implantation, increased basophilic staining after implantation, and some impairment of the "cement line" between the graft and the invading host bone. These changes are roughly proportional to the dose of irradiation.

5. Before carrying out controlled clinical studies in patients, an experiment should be performed to determine the doses necessary to sterilize sections of various sizes of human bone that have been grossly contaminated with mixtures of a wide variety of organisms.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center