'Save The Haematoma': The utility of using the fracture hematoma as autograft during ORIF.

Horwitz, Daniel; Nageeb, Ahmed; Watson, Tracy; Giannoudis, Peter V · Injury · 2026

expert_opinion · Level V

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Abstract

The utility of using the patient's native fracture hematoma as an autograft after performing open reduction and internal fixation (ORIF) for fractures is highlighted. The fracture hematoma may be effectively used in closed fractures as a standalone autograft for filling in or around the fracture site, or used in combination with other structural autografts, allografts, or bioceramics to potentially enhance fracture healing. We advocate surgeons to support and consider in their practice the 'Save The Haematoma Campaig'.

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