Experience with Alternative Sources of Structural Bone Graft for Total Wrist Fusion in Three Rheumatoid Arthritis Patients
Bibliographic record
Abstract
Three cases are presented in which alternative sources of bone graft were used for wrist fusion; in two cases, frozen irradiated allograft was implanted, and in one, stored frozen autogenous bone harvested from the patient during a previous procedure was used. All cases were followed clinically and radiologically for at least one year. The frozen banked allograft and autograft were not successful when used as structural grafts to bridge a defect for wrist fusion; however, allograft implantation resulted in successful wrist fusion where host bone contact across the fusion site was maintained, and the allograft was used to fill a defect. Fresh autogenous bone remains the structural graft of choice for wrist fusion in the rheumatoid patient in the few cases where graft is required for this diagnosis. Morsellized frozen allograft can be employed to fill dead space.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".