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Metabolic and Immunologic Studies of Perfused Bone in Vitro
J. L. HILL; F. DELGADO; L. W. NORTON; BEN EISEMAN
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From Department of Surgery, University of Colorado Medical School, Denver
1972 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1972; 54:109-118 
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Abstract

I. A perfusion technique is described which maintains prolonged (up to six days) survival and metabolic activity of the cells in an excised bone. The perfusate is an acellular tissue-culture medium to which has been added 10 per cent homologous serum and which is oxygenated by a membrane oxygenator.

2. Optimum conditions for perfusion include perfusion pressure of ninety-five millimeters of mercury, flow of 0.15 milliliter per gram of bone per minute. and perfusate Po2 of 250 millimeters of mercury. This will maintain an oxygen utilization of 0.038 m mole per gram of bone per hour, and glucose consumption of 0.10 milligram per gram of bone per hour.

3. Such an isolated bone, in contrast to the similarly isolated spleen does not produce plaque-forming cells after challenge during perfusion with sheep red blood cells. This is in keeping with current concepts of the inability of unaided marrow cells to sponsor antibody producing cells.

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    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.
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