The Journal of Bone and Joint Surgery, Vol 63, Issue 9 1472-1481, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc
Operational and financial aspects of a hospital bone bank
SH Doppelt, WW Tomford, AD Lucas and HJ Mankin
Although bone banks have existed for many years, the elements of organizing
and maintaining a hospital bone bank have not been well documented. The
experience with a bone bank at the Massachusetts General Hospital between
1971 and 1980 provides a model on which to base an explanation and
discussion of methods of procurement, storage, and retrieval, and the costs
associated with such a facility. In 1979, the procurement rate averaged one
donor per month; during that year a total of ninety-one bones were stored
and six different surgeons utilized more than twenty allografts from the
bank. During the same year, the approximate cost of maintaining the bank
was more than $50,000. On the basis of the number of bones used, the cost
averaged more than $2000 per implant. Such a hospital facility offers the
benefits of quality control of the banked bone but is expensive and may not
be feasible for many hospitals.