Bone transplantation as a treatment of Pott's disease, club feet and ununited fractures / by Fred H. Albee.

  • Albee, Fred H. (Fred Houdlett), 1876-1945.
Date:
[1912]
Catalogue details

Licence: In copyright

Credit: Bone transplantation as a treatment of Pott's disease, club feet and ununited fractures / by Fred H. Albee. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/20 (page 19)
    Vol. XXVII Number 11 BONE TRANSPLANTATION. 19 The point of fraction is reached by a long incision. The tis- sues are separated from the side of the fragment where the graft is to be placed for about two to three inches each side of the point of fracture. The bone ends are then freshened with chisel and mallet or motor saw. They are then well approximated with fragments in good alignment. The bone cortex where the graft is to be placed is then sawed through to the marrow, by two parallel cuts from § to J inch apart, extending into each fragment for 2J to 3 inches from point of fracture. These strips of bone are then removed with a narrow chisel and mallet. Thus producing a long mortice extending into each fragment. A strip of bone of proper length taken from the crest of the tibia, with a motor saw, is then inlaid (as a cabinet maker inlays a piece of wood.) This bone graft should always extend beyond the sclerosed ends, into healthy vascular bone in each fragment. The insert is held in place by kangaroo tendon placed in drill holes in the recipient bone on each side and brought over graft and tied. This procedure has produced bony union all of the four cases operated upon. In one case the pseudarthrosis had ex- isted ten and one-half months.