Creation of the bone bank of the Rabat and Casablanca region in Morocco

Abstract

For a long time the use of bone grafting has demonstrated its interest in orthopedic surgery and traumatology. The autografts which are still very frequently used present various problems. On the one hand, it is necessary to find a correct mechanical quality and a sufficient quantity of bone. On the other hand, the graft removal lengthens the operative time and generally painful in postoperative. These disadvantages of autografts have led to the development of bone allografts. Indeed, the low immunogenic power of the bone, the good integration of the graft and the ease of bone preservation techniques make it possible to overcome the various problems posed by bone autografts. The increasing use of bone allografts has resulted in the need for a structure allowing the management of graft stocks. The purpose of this work is to demonstrate the mode of operation of a bone bank, whose conservation activity is limited to the femoral heads treated by cryopreservation and without secondary sterilization process. The bank collaborates with all orthopedic surgeons in the Rabat and Casablanca city at first and then with all orthopedic surgeons in Morocco. It provides allografts in quality and safety.

Configuration and Management of a Femoral Heads Bone Bank in a Specialised Tertiary Orthopaedic Hospital in Bucharest

“…Many hospitals in many countries, regardless of their GDP, have opened such Hospital Banks and are still looking for ways to improve their performance. Besides bone banks in Germany, [17][18][19] we found banks protocols described in several European countries: Netherlands [22], England [23], Croatia [24], France [21], Spain [25], Portugal [26] as well as in Marocco [27], Canada [28], USA [29], Argentina [30], Chile [31], Australia [32,33], India [34], Hong Kong [35] Our bank performs in the medium range compared to banks in other countries, with a very high discarding rate of 30-40% due to the presence of viral hepatitis B and C, but only 3% exogenous Staphilococal contamination, that could have been avoided. Other banks reporting comparable figures were in Ireland [23] in 2015, Portugal [26] in 2000 and Argentina [30] in 2015.…”

Need, Strategies and Requirements in the Medical System for Bone Banks: A Review Article

“…The bank first works with all orthopedic physicians in Rabat and Casablanca before expanding to all Moroccan orthopedic surgeons. It offers allografts that are high-quality and secure [ 33 ]. This sincerity and template are required for setting a bone bank in our country too.…”