<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022019000200077</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Living donor bone bank: Costa Rican experience]]></article-title>
<article-title xml:lang="en"><![CDATA[Banco de huesos a partir de donantes vivos: experiencia costarricense]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaves-Solano]]></surname>
<given-names><![CDATA[Nefertiti]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital&#8217;s Bone Bank Instituto Nacional de Seguros-Red de Servicios de Salud, ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica.</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>61</volume>
<numero>2</numero>
<fpage>77</fpage>
<lpage>80</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022019000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022019000200077&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022019000200077&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Objetivo: El uso de injertos óseos es una práctica común en cirugías ortopédicas. Sin embargo, el problema diario en traumatología es el acceso limitado a injertos óseos adecuados. Estos injertos permiten proporcionar estabilidad mecánica en el área del defecto óseo, así como reparar y regenerarvlos defectos a través de sus propiedades osteoinductivas, osteogénicas y osteoconductivas. El objetivo principal de este trabajo fue proporcionar información a la población sobre las experiencias y la importancia de establecer un Banco de Huesos en Costa Rica. Metodología: Se recopiló toda la información relevante para proporcionar un breve resumen del establecimiento de un banco de huesos en Costa Rica. En primer lugar, se tomó en cuenta consideraciones legales, seguido por la definición de los criterios de exclusión de donantes de acuerdo a los estándares internacionales. Los potenciales donantes se definieron como los pacientes sometidos a reemplazo de cadera y de rodilla. Con el fin de elegir los donantes adecuados, a todos los 78 Acta méd costarric Vol 61 (2), abril-junio 2019 potenciales donantes se les realizaron pruebas de sangre para detectar enfermedades transmisibles. Los tejidos óseos se obtuvieron en sala de operaciones para, posteriormente, ser procesados bajo condiciones estrictas estandarizadas. Una vez que se procesaron los tejidos, los aloinjertos se almacenaron a -80 °C hasta que se llevó a cabo el procedimiento de trasplante. Resultados: entre los años 2016 y 2019, el Banco de Huesos tuvo un total de 69 donantes y 258 receptores de aloinjertos óseos, todos ellos pacientes del Hospital Trauma. Conclusión: El establecimiento del banco de huesos en Costa Rica ha sido un gran desafío para el Instituto Nacional de Seguros (INS). El objetivo es hacer que el mismo esté disponible para la comunidad médica en general, a fin de fortalecer la red de donación y trasplantes de tejidos en Costa Rica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Aim: The use of bone grafts is a common practice in orthopedic surgeries. However, the daily problema in traumatology is the limited access to adequate bone grafts. These grafts provide mechanical stability in the affected area of the bone, as well as repair and regeneration of weaknesses through osteoinductive, osteogenic and osteoconductive properties. The main objective of this report is to provide information about the experiences and the importance of establishing a Bone Bank in Costa Rica. Method: All relevant information was gathered to provide a brief overview of the establishment of a Bone Bank in Costa Rica. First, legal issues were taken into consideration; followed by the definition of the donor exclusion criteria according to international standards. Potential donors were defined as all patients undergoing hip or knee replacement surgeries. In order to select the right donors, blood samples from all potential donors were tested for transmittable diseases. Bone tissues were obtained in the operating room to be processed later, under strict standardized conditions. Once the tissues were processed, allografts were stored at -80°C until the transplantat procedures were carried out. Results: Between 2016 and 2019, the bone bank had a total of 69 donors and 258 bone allograft recipients, all of them were patients at the Trauma Hospital. Conclusion: The establishment of the bone bank in Costa Rica has been a challenge for the National Insurance Institute (INS). The goal is to make the Bone Bank available to the medical community in general, in order to strengthen the tissue donation and transplant network in Costa Rica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Allografts]]></kwd>
<kwd lng="en"><![CDATA[tissue banking]]></kwd>
<kwd lng="en"><![CDATA[tissue donation]]></kwd>
<kwd lng="en"><![CDATA[bone]]></kwd>
<kwd lng="es"><![CDATA[aloinjertos]]></kwd>
<kwd lng="es"><![CDATA[banco de tejidos]]></kwd>
<kwd lng="es"><![CDATA[donación de tejidos]]></kwd>
<kwd lng="es"><![CDATA[huesos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[San Julian]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Valentí]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trasplante óseo]]></article-title>
<source><![CDATA[An Sist Sanit Navar]]></source>
<year>2006</year>
<volume>29</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Figueroa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vaisman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Figueroa]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aloinjertos óseos y la función del Banco de Huesos]]></article-title>
<source><![CDATA[Rev Med Chil]]></source>
<year>2011</year>
<volume>139</volume>
<page-range>660-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lavernia]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Malinin]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Temple]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Moreyra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bone and Tissue Allograft Use by Orthopaedic Surgeons.]]></article-title>
<source><![CDATA[J Arthroplasty]]></source>
<year>2004</year>
<volume>16</volume>
<page-range>430-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Yeung]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bone grafts and biomaterials substitutes for bone defect repair A review]]></article-title>
<source><![CDATA[Bioact Mater]]></source>
<year>2017</year>
<volume>2</volume>
<page-range>224-47</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delloye]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cornu]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Druez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Barbier]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bone allografts: what they can offer and what they cannot.]]></article-title>
<source><![CDATA[JB JS Open Access]]></source>
<year>2007</year>
<volume>89-B:</volume>
<page-range>574-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giannoudis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Dinopoulos]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Tsiridis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bone substitutes An update]]></article-title>
<source><![CDATA[J. Injured.]]></source>
<year>2005</year>
<volume>36</volume>
<page-range>S20-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pieske]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Wittmann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zaspel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Löffler]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rubenbauer]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Trentzsch]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Piltz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autologous bone graft versus demineralized bone matrix in internal fixation of ununited long bones]]></article-title>
<source><![CDATA[J Trauma Manag Outcomes]]></source>
<year>2009</year>
<volume>3</volume>
<page-range>11</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Canosa]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estructura y organización de un Banco de Huesos y Tejidos]]></article-title>
<source><![CDATA[Rev Esp Cir Ortop Traumatol]]></source>
<year>2000</year>
<volume>44</volume>
<page-range>127-38</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McAllister]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Joyce]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mann]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Vangsness]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Allograft update: the current status of tissue regulation, procurement, processing, and sterilization]]></article-title>
<source><![CDATA[Am J Sports Med.]]></source>
<year>2007</year>
<volume>35</volume>
<page-range>2148-58</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vangsness]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Mills]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kainer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Allograft Transplantation in the Knee Tissue Regulation, Procurement, Processing, and Sterilization]]></article-title>
<source><![CDATA[Am J Sports Med]]></source>
<year>2003</year>
<volume>31</volume>
<page-range>474-81</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kostiak]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Evolution of Quality Systems in Human Bone Banking The U.S. Experience]]></article-title>
<source><![CDATA[Cell Tissue Bank]]></source>
<year>2000</year>
<volume>1</volume>
<page-range>155-60</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nather]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Yusof]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hilmy]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<source><![CDATA[Allograft procurement, processing, and transplantation: a comprehensive guide for tissue Banks]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Singapore ]]></publisher-loc>
<publisher-name><![CDATA[World Scientific]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lomas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Drummond]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kearney]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Processing of whole femoral head allografts A method for improving clinical efficacy and safety]]></article-title>
<source><![CDATA[Cell Tissue Bank.]]></source>
<year>2000</year>
<volume>1</volume>
<page-range>193-200</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yates]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Thomson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Galea]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Processing of whole femoral head allografts Validation methodology for the reliable removal of nucleated cells, lipid and soluble proteins using a multi-step washing procedure]]></article-title>
<source><![CDATA[Cell Tissue Bank]]></source>
<year>2005</year>
<volume>6</volume>
<page-range>277-85</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Guía para la operación de Banco de Tejidos.]]></source>
<year>2013</year>
<edition>1</edition>
<publisher-loc><![CDATA[Cartago ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Tecnológica de Costa Rica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zwitser]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Jiya]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Licher]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[van Royen]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Design and management of an orthopaedic bone bank in the Netherlands]]></article-title>
<source><![CDATA[Cell Tissue Bank.]]></source>
<year>2012</year>
<volume>13</volume>
<page-range>63-69.</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
