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  • Title: Management of difficult lower extremity fractures and nonunions.
    Author: Swartz WM, Mears DC.
    Journal: Clin Plast Surg; 1986 Oct; 13(4):633-44. PubMed ID: 3533375.
    Abstract:
    Difficult fractures and nonunions of the lower extremities are defined as compound fractures with soft-tissue loss, segmental bone fractures, and infected nonunions. A variety of methods for managing these defects are presented, including the use of modern fixation techniques and the application of highly vascularized bone and soft tissues. Vascularized bone grafts play a significant role in the treatment of difficult fractures that previously would have required amputation.
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