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EXPERIMENTAL BONE TRANSPLANTS
Robert S. Siffert
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Departments of Orthopaedic Surgery and Pathology, Mount Sinai Hospital, New York
1955 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1955; 37:742-758 
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Abstract

One hundred and fifty-seven bone and callus transplantations to ulnar defects or to the gluteal muscles of rabbits were performed. The specimens were studied by routine histological methods, as well as by stains for collagen, alkaline phosphatase, and phosphates.

Although homogenous bone was usually well incorporated, best results were obtained with autogenous iliac bone. Shave grafts of tibial bone incited extensive osteoclastic and fibroplastic reactions, and were almost completely destroyed before healing of the defect occurred. The mechanism of destruction of the grafts has been discussed in the light of preliminary in vitro experiments involving bone digestion. Alkaline phosphatase localization and its role in osteogenesis have been briefly discussed.

Although peripheral areas of trabeculated iliac bone and of callus transplanted to muscle tissue occasionally survived, all such transplants to bone defects became necrotic, indicating that the speed of revascularization of a graft bed is probably the principal determining factor in maintaining viability of transplanted elements.

There was no evidence of direct osteogenetic stimulation by any elements of the transplanted fragments.

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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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