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Induced Membranes—A Staged Technique of Bone-Grafting for Segmental Bone LossA Report of Two Cases and a Literature Review
Colin Yi-Loong Woon, MBBS, MRCSEd, MMed(Surg), MMed(Ortho)1; Keen-Wai Chong, MBBS, MRCS(Edin), MMed(Ortho), FRCS(Edin)(Ortho)1; Merng-Koon Wong, MBBS, FRCS(Glasg), FAMS1
1 Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169608, Singapore. E-mail address for C.Y.-L. Woon: wolv23@gmail.com
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedic Surgery, Singapore General Hospital, Singapore

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Jan 01;92(1):196-201. doi: 10.2106/JBJS.I.00273
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Diaphyseal defects too long to be bridged by cancellous bone graft require complex reconstruction. Distraction osteogenesis requires specialized equipment, has a steep learning curve, and is plagued by attendant pin-site complications and nonunion1,2. Vascularized bone, such as from the fibula, requires microsurgical anastomoses (free), or is limited by pedicle length (pedicled), and has attendant donor-site morbidity (both free and pedicled)1,3.
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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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