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The effect of internal fixation on the healing of large allografts
RA Vander Griend
J Bone Joint Surg Am, 1994 May 01;76(5):657-663
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Abstract

One hundred and twenty patients had an allograft reconstruction of the femur, tibia, or humerus. Of a total of 183 allograft-host junctions, eight-three were fixed with a plate; ninety-eight, with an intramedullary rod; and two, with screws alone. There was no significant difference between the rate of union after fixation with a plate and that after intramedullary fixation (p = 1.00). However, fixation with a plate was associated with a higher rate of fracture of the allograft (p < 0.0001). Some problem related to the internal fixation of the allograft was identified at eighteen of the twenty junctions that did not heal. There was a significant association (p < 0.001) between a problem in the achievement of stable fixation and the development of a non-union at the allograft-host junction.

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    Topics

    allografting
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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