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THE BREAKING STRENGTH OF HEALING FRACTURES
MERRILL K. LINDSAY; EDWARD L. HOWES
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The Department of Surgery, School of Medicine, Yale University.
The Journal of Bone & Joint Surgery.  1931; 13:491-501 
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Abstract

1. A quantitative method is described and a basic curve developed, indicating the breaking strength of regenerating bone.

2. Strength first manifests itself by the sixth day and then increases rapidly to the twenty-first day. It was observed that the callus grew steadily larger during this time.

3. There is a period of decline in strength after the twenty-first day, during and following which time the callus decreases in size.

4. There is a secondary rise in strength from the thirty-third to the forty-fifth day.

5. A strength is attained on the twenty-first day which is comparable to that on the thirty-ninth, but a period of weakness exists between the two.

6. There is a direct-correlation between the results of this study and previously observed histological facts and clinical data.

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    Accreditation Statement
    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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