Industrial medicine and surgery . t had practically (Clinic of Dr. A. I. Halstead.) The graft should not be placed in normal salt solution, as this washesaway the blood on the graft which nourishes its cells. 3. The smaller the graft, the better its growth. When necessaryto use a large graft, save every small fragment of bone and pack aboutthe graft, as these become centers of osteogenesis. 4. Transplant all three layers and coapt periosteum to periosteum,cortex to cortex, and endosteum to endosteum. This is not essentialfor growth of the graft, but gives better blood supply and quickergrowth.
Industrial medicine and surgery . t had practically (Clinic of Dr. A. I. Halstead.) The graft should not be placed in normal salt solution, as this washesaway the blood on the graft which nourishes its cells. 3. The smaller the graft, the better its growth. When necessaryto use a large graft, save every small fragment of bone and pack aboutthe graft, as these become centers of osteogenesis. 4. Transplant all three layers and coapt periosteum to periosteum,cortex to cortex, and endosteum to endosteum. This is not essentialfor growth of the graft, but gives better blood supply and quickergrowth. It is a far superior method to the intramedullary grafts. 5. Attach the soft tissues singly about the graft and suture muscleattachments to the graft as near their normal position as possible. 6. As early as possible, allow slight movement in the part, so that OPEN TREATMENT OF FRACTURES 637 the graft will not only grow, but will conform itself to meet its newmechanical functions (Wolffs law). The a>ray should be the guide as. Fig. 178.—Same as Fig. 177, two weeks after transplant was made. (Operation byDr. A. I. Halstead, St. Lukes Hospital, Chicago.) to when to allow this motion, and it should not be done until the grafthas become firmly fixed.
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