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Vascularized fibular graft
2%
4/244
Locked intramedullary rodding
1%
3/244
Tricortical iliac crest grafting and compression plating
56%
137/244
Cancellous autograft and plating
39%
94/244
BMP-7
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In an atrophic nonunion with a good soft-tissue envelope, adequate plating with cancellous bone graft can be used to span defects of up to 6 cm. Cortical graft from the fibula or iliac crest is not necessary. BMP-7 is a bone graft substitute and should not be used alone in this patient because the hardware is loose.
1.2
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