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A correction has been published: N Engl J Med 2001;345(9):704.

Original Article
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Volume 344:1511-1514 May 17, 2001 Number 20
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Replacement of an Avulsed Phalanx with Tissue-Engineered Bone
Charles A. Vacanti, M.D., Lawrence J. Bonassar, Ph.D., Martin P. Vacanti, M.D., and John Shufflebarger, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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 by Hentz, V. R.

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For several decades, various approaches have been used to replace bone lost to trauma and disease. In 1908, Lexer1 described attempts to reconstruct joints with newly amputated or cadaveric allografts. In more recent years, autografts2 and allografts3,4 have been used extensively to replace bone. Several natural or synthetic bone substitutes have also been used alone5,6,7,8,9 or in conjunction with demineralized bone10 or autologous bone as vascularized or free (nonvascularized) grafts.11,12 There have been numerous reports on the use of polypeptides13,14 or demineralized bone powder14,15 to stimulate the differentiation of mesenchymal tissue into bone.

More recently, living cells have been implanted . . . [Full Text of this Article]

Case Report

Methods

Procurement and in Vitro Culture of Autologous Cells

Implantation of the Cell–Scaffold Complex

Documentation of the Development of Bony Tissue

Results

Discussion


Source Information

From the Center for Tissue Engineering (C.A.V., L.J.B., M.P.V.); the Departments of Anesthesiology (C.A.V., L.J.B., M.P.V.), Cell Biology (L.J.B.), and Pathology (M.P.V.); and the Division of Plastic Surgery (J.S.) — all at the University of Massachusetts Medical School, Worcester.

Address reprint requests to Dr. Charles A. Vacanti at the Center for Tissue Engineering, University of Massachusetts Medical School, 55 Lake Ave. N., Worcester, MA 01655.

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