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Journal of the American Podiatric Medical Association, Vol 88, Issue 3 130-134, Copyright © 1998 by American Podiatric Medical Association
JOURNAL ARTICLE |
F Nesheiwat, WM Brown and KM Healey
University Hospital, University of Medicine and Dentistry of New Jersey, Newark, USA.
Autogenous bone grafting has been the standard approach to reconstruction of trauma-induced metatarsal defects. However, this treatment has well-known disadvantages related to the harvesting, size, shape, and availability of autografts. The authors used a synthetic hydroxyapatite bone-graft substitute manufactured from a marine coral with a morphology similar to that of cancellous bone in the reconstruction of a large, post-traumatic first metatarsal defect. The authors found grafting with coralline hydroxyapatite to be a safe and effective substitute for autogenous bone grafting in the post-traumatic setting.
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