Clinical Orthopaedics and Related Research · 1990 · 217 citations · 0 references
Life SciencesImmunologyInfectious DiseasesBone GraftingMolecular VirologyVirologyAutogenous Bone GraftsBone Graft HarvestingBone InfectionsHiv TestingViral ReplicationAllograft Bone GraftingFreezingFresh Frozen Bone AllograftHuman Immunodeficiency Virus ReservoirsHuman Immunodeficiency Virus TransmissionResidual RiskResidual Risk IdentificationWashing
This study demonstrates by a virologic culture method that human immunodeficiency virus (HIV) resides in bone. After freezing, some initially positive specimens no longer yielded virus, but those that continued to yield virus were not further altered by subsequent washing, which removed essentially all marrow, or by freeze-drying. The safeguards against potential transmission of HIV by a bone allograft are principally the screening and testing methods previously described, although there may be a further reduction of the remote residual risk by the freezing step in the usual technical sequence for tissue banking by sterile techniques.