Nerve-grafting, as a supplementary operation to neurectomy, has
been practiced, and Gersung has transplanted the nerves of lower
animals to the nerve stumps of man.
Bone-grafting is quite frequently practiced, portions from a
recently amputated limb, or portions removed from living animals,
or bone-chips, may be used. Senn proposed decalcified bone-plates
to be used to fill in the gaps. Shifting of the bone has been
done, e.g., by dividing a strip of the hard palate covered with
its soft parts, parallel to the fissure in cleft palate, but
leaving unsevered the bony attachments in front, and partially
fracturing the pedicle, drawing the bony flaps together with
sutures; or, when forming a new nose, by turning down with the
skin and periosteum the outer table of the frontal bone, split
off with a chisel, after cutting around the part to be removed.
Trueheart reports a case of partial excision of the clavicle,
successfully followed by the grafting of periosteal and osseous
material taken from a dog. Robson and Hayes of Rochester, N.Y.,
have successfully supplemented excision of spina bifida by the
transplantation of a strip of periosteum from a rabbit. Poncet
hastened a cure in a case of necrosis with partial destruction of
the periosteum by inserting grafts taken from the bones of a dead
infant and from a kid.
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