RT Journal
A1 Potter, Benjamin K.
A1 Forsberg, Jonathan Agner
T1 Commentary on an article by Benjamin Bruce, MD, et al.: “Are Dropped Osteoarticular Bone Fragments Safely Reimplantable in Vivo?”
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2011
FD March 2
VO 93
IS 5
SP e18 1
OP 2
DO 10.2106/JBJS.J.01835
UL http://dx.doi.org/10.2106/JBJS.J.01835
AB 
In Phase I of the study, operating suite floors were swabbed and dropped fresh osteochondral fragments (n = 162) were cultured without disinfection to determine the microbiologic profile and the rate of contamination of dropped fragments. In Phase II, inoculated bone fragments (n = 340) were cleansed with 10% povidone-iodine, 4% chlorhexidine, 70% isopropyl alcohol/2% chlorhexidine gluconate, or 0.9% normal saline solution as decontamination solutions with either a five or a ten-minute "soak" followed by mechanical decontamination via either bulb syringe irrigation "rinse" or a physical "scrub" with a bristled sponge. Finally, in Phase III, articular chondrocyte viability of fragments (n = 101) was assessed following each of the various combinations of chemical and mechanical decontamination.