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March 1946

PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XIX. Fracture Deformities

Author Affiliations


Arch Surg. 1946;52(3):336-342. doi:10.1001/archsurg.1946.01230050341007

FEWER papers were published on fracture deformities in 1944 than in any year since this section of the progress in orthopedic surgery has been written.

Murray651 has summarized, in outline form, the essentials for success in bone grafting in ununited compound fractures. In order to obtain a "take" of a bone graft in compound fractures, (1) the graft must unite and become an integral portion of the host bone, (2) new bone must form in response to function demands, (3) length and alinement must be preserved during the period preceding grafting or restored at the time of grafting and maintained postoperatively and (4) both active and potential infection must be controlled. Murray discusses the mechanism of new bone formation and the known facts concerning its source as applied to a bed which has been previously infected. It is Murray's opinion that the type of graft is frequently not so