The Journal of Bone and Joint Surgery (American). 2007;89:469.
doi:10.2106/JBJS.F.01119
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Editorial

Bone Graft Substitutes: Separating Fact from Fiction

Roy Sanders, MD, Past President1

1 Orthopaedic Trauma Association Tampa, Florida

The first 20% of the full text of this article appears below.

Although great advances have been made in fracture care, treatment failures are not uncommon. High-energy injuries that result in bone devitalization, or open fractures that are associated with bone loss, can be followed by postoperative infection or, if treated with inadequate methods, may result in the development of a pseudarthrosis. These complex problems require much care before healing can occur. Since the development and use of stainless steel in orthopaedics in the 1920s, surgeons have tried to use advances in metallurgy and implant design to assist fracture-healing. Nails were improved with locking technology, while simple plates were transformed into blade plates, compression plates, and now locking plates. External fixation was . . . [Full Text of this Article]


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