MS Sign-offs

Which chunk type is the only one which needs an RMC GC and what day 2 graft is needed with it?

CCA, ACAN on day 2

What day 2 graft does CC3E require you to send with it?

2 BFAS- bulk fascia lata that is not trimmed, only cleaned

What day 2 graft can exist only on a CC3E donor?

BCC3E, a I-8 cort/can huh

What tissue is run through the osteomar for YCC?

Hemipelvis

What allowash flow does YCC follow?

Cut graft allowash flow

What is the age range for femoral head?

12-80

What are the three types of femoral heads?

FFH (frozen femoral head), FFHN (frozen femoral head neck), and FFHG (frozen femoral head for grinding)

What is the spec on diameter for FFH and FFHN?

43-55 mm

What is the spec on a FFHN neck?

shortest neck length must be between 10-12mm

What measurements are taken/recorded on the FFHG?

no measurements or spec!

What are femoral heads packaged in?

Medium FF Kenpack

How are femoral heads packaged?

must be wrapped in damp gauze

What are the recorded measurements on each type of femoral head?

-FFH and FFHN diameter between 43-55 mm

-FFHG has no measurements

What is the age range for iliac crest wedges?

12-80

What are preservation methods for iliac crest wedges?

Freeze-dried and preservon

What types of packaging is used for iliac crest wedges?

-preservon are packaged in 2.5 boats

-freeze-dried are packaged in roll print

What are the different height sizes for iliac crest wedges?

6, 7, 8, 9, 10, 12, 15, 18, 20, 25

What is the height tolerance of iliac crest wedges?

-0 / +0.75 mm

Where is thickness measured in iliac crest wedges?

15mm in starting at the crest

What is the minimum thickness for iliac crest wedges under 20 mm in height?

thickness minimum is 8 mm

What is the minimum thickness for iliac crest wedges 20 mm and over in height?

thickness minumum is 9 mm

What are the length specs and associated codes for iliac crest wedges?

-SM is 25-27 mm

-MD is 28-30 mm

-LG is 31-35 mm

-XL is greater than or equal to 36 mm (special request only)

What length code does not exist in iliac crest wedges over 20 mm in height?

SM

What order are the measurements listed for iliac crest wedges? What does the code look like?

-height , thickness, length

-height, thickness, length CODE (SM, MD, LG)

When does the thickness spec begin being recorded in increments of 2 in iliac crest wedges?

starts at 12 mm and ends at 18 mm

What is the age range for ilium strips?

12-80

What are the preservation methods for ilium strips?

Preservon and freeze-dried

How are both preservation methods of ilium strips packaged?

-preservon is packaged in 2.5 boats

-freeze-dried are packaged in roll print

What is the minimum thickness for ilium strips?

thickness minimum is 5 mm on all cancellous faces

What are the width sizes for ilium strips?

15 and 20 mm

Where is thickness measured in ilium strips?

Measure each cancellous face to make sure each are 5 mm

What is the width tolerance for ilium strips?

15 and 20 both have a width tolerance of -1/+1 mm

What are the length specs associated with SM, MD, and LG ilium strips? (5)

-there is NO large 15

-there is ONLY large 20

-15 SM = 20-29 mm

-15 MD = 30-39 mm

-20 LG = 40-60 mm

What is tricortical?

a structural bone graft, typically harvested from the iliac crest that includes three sides of strong cortical bone surrounding a dense center of cancellous bone

What is the age range for tricortical ilium strips/tricorts?

12-80

What are the preservation methods for tricortical ilium strips/tricorts?

primarily preservon, but one size can be frozen

Which sizes exist in each preservation method of tricortical ilium strips/tricorts?

-preservon sizes include 45, 50, 55, 60

-60D can be both frozen and preservon

What is the height tolerance for normal tricortical ilium strips/tricorts?

for 45, 50, 55, and 60 the height tolerance is -0/+1 mm

What is the length tolerance for normal tricortical ilium strips/tricorts? What is the length spec?

for 45, 50, 55, and 60 the length tolerance is -2/+2 mm

22 mm

What is the length tolerance for the TRICORTS 60D? What is the length spec?

-0/+5 mm

35 mm

What is the height tolerance for the TRICORTS 60D?

-5/+5 mm

What is the thickness spec for all tricorts?

thickness is a minimum of 5 mm on all cancellous faces

What packaging is used for each preservation method of tricortical ilium strips/tricorts?

-preservon uses 5 cm boat

-frozen packed in medium FF Kenpack

How are tricortical ilium strips/tricorts packaged frozen?

must be wrapped in gauze

How are the measurements of tricortical ilium strips/tricorts listed/ordered in size and dimensions?

H x L

TRICORTS 45 is 45 × 22 mm

TRICORTS 50 is 50 × 22 mm

TRICORTS 55 is 55 × 22 mm

TRICORTS 60 is 60 × 22 mm

TRICORTS 60D is 60 × 35 mm

How is the product code written for each preservation method for tricortical ilium strips?

-Preservon: PR-TRICORTS

-Frozen: F-TRICORTS

What is cancellous?

light, porous (spongy) type of tissue found mainly at the ends of long bones

What is the age range for cancellous cubes?

12-86

What preservation methods are there for cancellous cubes?

Preservon and freeze-dried

What packaging is used for each preservation type for cancellous cubes?

-preservon are packaged in 2.5 cm boats

-freeze-fried are packaged in RollPrint

What size of cube does BCUBES or CANCUBE SP signify?

5 mm cubes, ‘s’ for small

How are BCUBES/CANCUBE SP alloquoted? What is their unit of measurement?

-using a cantool/syringe

-measured in cm3

What does it mean to alloquat?

Distributing tissue into packaging!

What size of cube does BCUBE or PCANCUBE signify?

10 mm cubes

How are BCUBE/PCANCUBE alloquated? What is their unit of measurement?

-the total number of cubes is counted- that is what goes in ‘quantity’

-unit of measurement is each

How many cubes are alloquated per 10cc in the cancellous cube size?

4 cubes

What is cortical?

the dense, hard outer layer of bone tissue

What is the age range for cancellous blocks?

12-86 double check

What are the preservation methods for cancellous blocks?

Freeze-dried and preservon

What are the specs for cancellous blocks?

CANBLOCK-FR

CANBLOCK15-FR

-CANBLOCK is a freeze-dried block that is 20 × 20 × 30 mm

-CANBLOCK15 is a freeze-dried block that is 15 × 15 × 30 mm

What two components do combination grafts like PCAN 1710 and PCAN 36 consist of?

Cubes and cancellous

What cube size and particulate range of ground cancellous is used for PCAN 1710?

8 mm cube

4-10 mm (add sieve size)

What cube size and particulate range of cancellous is used for PCAN 36 ?

5 mm cubes

3-6 mm ground cancellous

What is the cube/cancellous ratio for PCAN 1710 and PCAN 36?

2:1

What is the age range for ground cancellous?

12-86

What packaging is used when preservon ground cancellous is 60cc or less?

2.5 cm boat

What is cc? What is it equivalent to?

cc stands for cubic centimeter (cm³), also equivalent to 1 mL

What packaging is used when frozen ground cancellous is less than 60cc?

Small KenPack

What packaging is used when frozen ground cancellous is 60 cc or larger?

Medium FF KenPack

What is corticocancellous?

a combination of dense cortical bone and porus cancellous bone in one graft

What is the age range for ground corticocancellous?

12-80

What particulate ranges exist for ground corticocancellous?

1-8mm and 1-4mm

What are the preservation methods for ground cortiocancellous?

Freeze-dried and preservon

What is the age range for humeral head?

12-80

What is the diameter spec for humeral head?

43-55 mm

What packaging is used for humeral head?

Medium FF Kenpack

How are humeral heads cut differently from femoral heads?

i think humeral heads have to have more neck attached, enough to be wrapped in gauze

How are humeral heads packaged?

Must be wrapped in damp gauze

What is a femoral head?

the highest part of the thighbone (femur), acting as a smooth, spherical ball that fits into the pelvic socket to form the hip joint

What are ilium strips?

an ICW with the crest cut off

What are tricortical ilium strips?

Ilium strips with three cortical faces…a BIG ICW

What are cancellous chips?

a mix of both ground cancellous and cubes (PCAN 1710)

What is ground cancellous?

refers to processed, porous, sponge-like allograft bone used in surgical procedures to fill bone voids or defects, derived from the inner, mineralized matrix of bones (often from the ends of long bones)

What is a humeral head?

the rounded, proximal end of the humerus bone that acts as a ball, fitting into the scapula socket to form the shoulder joint

What is an achilles tendon?

the body's thickest, strongest tendon, connecting calf muscles to the heel bone to enable walking, running, and jumping

What are the ‘big 3’ tendons?

-Anterior Tibialis

-Peroneus Longus

-Posterior Tibialis

What are the ‘small 2’ tendons?

-Gracilis

-Semi-T

How do you distinguish the anterior tibialis tendon?

-very flat, smooth and gradual transition from tube to fan

-most commonly confused with peroneus

How do you distinguish the peroneus longus tendon?

-usually very long and narrow, tube end has a distinct dense bump in it

-most commonly confused with anterior

How the posterior tibialis tendon distinguished?

-typically shorter tube end

-usually very thick, v-shaped transition from tube to fan, ‘mermaid tail’

How is the gracilis tendon distinguished?

very thin and short, fan end is generally narrow

How is the semi-t tendon distinguished?

-wide, flaring fan end that usually begins further down the tube compared to posterior tendon

-tube end can appear similar to second fan end before cleaning

Which tendon is very flat and characterized by a smooth, gradual transition from tube to fan?

Anterior tibialis

Which tendon is usually very long and narrow with the tube end having a distinct, dense bump?

Peroneus longus

Which tendon is usually very thick and characterized by a v-shaped transition from tube into fan?

Posterior tibialis

Which tendon is very thin and short with a narrow fan end?

Gracilis

Which tendon is characterized by a wide, flaring fan end that usually begins much further down the tube?

Semi-T

What is a patellar ligament?

connects the kneecap (patella) to the shinbone (tibia), acting as a crucial part of the knee extensor mechanism to allow walking, jumping, and straightening the leg

What are cancellous dowels?

cylindrical bone grafts made from spongy cancellous bone, often with a cortical shell on one end

What are tricortical cancellous wedge parallels/TCWPs?

made out of hemipelvis crest, pretty much an icw but smaller and with parallel sides