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One-stage open cancellous bone grafting of infected fracture and nonunion

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Journal of Orthopaedic Science


Nineteen patients with either infected fractures or nonunions were managed by a one-stage protocol consisting of thorough debridement of the septic focus, followed by stabilization with an external fixator or a cast and fresh autogenous cancellous bone grafting; the wound was then left open. Nineteen fractures were healed and free of infection at an average of 3.5 years follow-up. Some considerations, including debridement, stabilization, bone grafting, and wound coverage, are discussed.

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Received for publication on Dec. 11, 1997; accepted on June 17, 1998

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Lei, H., Yi, L. One-stage open cancellous bone grafting of infected fracture and nonunion. J Orthop Sci 3, 318–323 (1998).

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