TY - JOUR T1 - Commentary on an article by Benjamin Bruce, MD, et al.: “Are Dropped Osteoarticular Bone Fragments Safely Reimplantable in Vivo?” AU - Potter, Benjamin K. AU - Forsberg, Jonathan Agner Y1 - 2011/03/02 N1 - 10.2106/JBJS.J.01835 JO - The Journal of Bone & Joint Surgery SP - e18 1 EP - 2 VL - 93 IS - 5 N2 - 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. SN - 0021-9355 M3 - doi: 10.2106/JBJS.J.01835 UR - http://dx.doi.org/10.2106/JBJS.J.01835 ER -