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Introduction. Historical background:Surgeons have gained their experience in reconstruction from the numerous wars Civilian injuries produces the largest number and the most extensive tissue loss almost indistinguishable from ware injuries . Introduction. It started in WW I and concentrated around reconstruction of the mandible but without antibiotic supportIn WW II distant bone blocks were transplanted from the ilium, rib and tibia with routine use of antibiotic No cancellous cellular marro9439

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