The Journal of hand surgery
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Replacing an extruded segment of bone in an open fracture imposes a challenging decision concerning the best and safest patient management. There are numerous advantages to restoring the patient's own extruded bone segment to its original location, particularly when the bone segment is of structural importance. ⋯ Among the different chemical sterilization solutions 10% povidone-iodine and chlorhexidine gluconate solutions are the author's most preferred solutions. Regarding cellular toxicity, 10% povidone-iodine has been found to be the most favorable among the readily available solutions.