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Growth Following Transepiphyseal Bone Grafts An Experimental Study to Explain Continued Growth Following Certain Fusion Operations
J. T. H. Johnson; Wayne O. Southwick
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Departments of Surgery, Divisions of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, and Yale University School of Medicine, New Haven
1960 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1960; 42:1381-1395 
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Abstract

Drill holes and fibular grafts were placed across the epiphyseal line of the distal end of the femur in thirty-eight rabbits and drill holes alone were made across the epiphyseal line in thirty-two rabbits. Microscopic sections at various times after surgery showed considerable new bone growing through the defects. When grafts were used they were fused by new bone to the epiphysis and metaphysis. Despite this, in the majority of cases a microscopic defect developed in the bone and epiphyseal growth continued. These bone defects or stress fractures are shown to be accompanied by an intense cellular reactions. The implications of these findings and their relevance to growth after fusion in young human beings are discussed.

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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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