Bonding of Fractures by Plastic Adhesives

Summary 1. Pioneering work in the use of adhesive resins in surgery is described, the work mainly centering on the bonding of fractures. 2. We are still sifting facts concerning callus formation, blood supply of bone and the biochemical and biomechanical effects of techniques described. 3. The ideal medical glue is still to be found, and our reinforcement of sleeve technique is to be condemned for reasons mentioned. A return to glue only between fracture ends is the choice. 4. Workers are advised not to use any resins whose full formulae will not be disclosed by manufacturers. Equally, a full understanding of the technology and accurate use of toxic amines is essential, else the consequences may be serious. 5. Resins are available that will adhere, remain inert or that can be moulded to the immediate requirement of the site with or without reinforcement. There is even a group that, after serving its purpose, can be absorbed and eliminated. 6. So much interest has been aroused that, by frank publication, we hope many centres will benefit from our experience. Exciting fields of application lie ahead. 7. To date any salvaging procedures necessary have been successful.