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Bone grafting
79%
1444/1836
Tricalcium phosphate
5%
98/1836
Calcium phosphate
10%
182/1836
Calcium sulphate
2%
40/1836
BMP-3
3%
61/1836
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Bone grafting in the primary fixation of fractures is typically limited to those with segmental defects. While the increased surface area of a comminuted fracture may aid in the healing potential, the segmental defect is a limiting factor to fracture healing. Calcium sulphate, tricalcium phosphate, BMP-3, and calcium phosphate are not indicated in this clinical picture. BMP-2,4,6, and 7 all have osteoinductive activity but BMP-3 does not demonstrate osteoinductive activity. In their retrospective review of 198 fracture, Wright et. al found BG was not indicated for comminuted open fracture, and only recommend BG when there is a segmental bone defect. Wei et. al also performed a retrospective review of 64 fractures in 49 patients and found BG was not indicated for comminuted open fracture, and only recommend BG when there is a segmental defect. Finally, Schemitsch and Richards determined that optimal outcome post forearm fracture depends on restoration of the radial bow.
2.6
(34)
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