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December 1, 1945

Bone-Grafting in the Treatment of Fractures

JAMA. 1945;129(14):987. doi:10.1001/jama.1945.02860480067025

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This is a carefully prepared report on the experiences of the author in the management of 76 cases of bone grafting in the treatment of fractures. The general principles relating to the use of bone grafts are excellently set forth but there is perhaps too great an elaboration of operative details. More emphasis might have been given to a statistical analysis of the results in support of the author's conclusions. Fractures of the carpal navicular bone are particularly well dealt with, and the technic of closed pegging for graft fixation in case of delayed or nonunion is an ingenious procedure. Technical points that are open to argument are the necessity for both nail and intramedullary graft fixation for ununited fractures of the neck of the femur with survival of the head, extensive periosteal stripping for complete freshening up of the ends of an ununited fracture, the necessity for always fixing

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