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MedicGuide:Whatarethe5stagesoffracturehealing?
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Welcometoasitededicatedtounderstanding,ratherthanmemorising,thegreatsubjectofmedicine.

Thursday,1May2008

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Whatarethe5stagesoffracturehealing?

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Inorderforbonestohealafterafracture,it'snecessaryforthetwo(ormore)partsto
remainasstationaryaspossible.Significantmovementbetweenthemseemstodisrupt
thehealingprocess.Longbeforeorthopaedicsurgeonswerearoundtoinsertpinsand
nails(etc.!),naturehadherownwayofensuringfracturestabilityitformsabonysplint
aroundthefracture,calledacallus.

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Butwe'reaheadofourselves.Therearefivephaseoffracturehealing:

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Haematomaformationalmostinevitably,theforcesthatbrokethebone
alsobreakbloodvessels.Asaresult,thebreakbecomessurroundedbya
haematoma.

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Anatomy(10)
Biochemistry(57)
Cancer(14)
CaseStudies(7)

Granulationtissueformationwithinhoursofthefracture,thehaematoma
beginstobereabsorbedanditissimultaneouslyreplacedbyaninflammatory
infiltrate.Withtime,thisacuteinflammatoryinfiltratedevelopsintoachronic
one,withfibroblastsandsmallnewvesselformation.Inaddition,thecells
undertheperiosteumandmedullaproliferate.
Callusformationthepredominantcellpopulationchangestoosteoblasts
(whichlaydownnewbone)andosteoclasts(whichreabsorboldbone).The
resultingcellulartissue,withenlargingislandsofnewbone,iscalledacallus.

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Consolidationthebonelaiddownquicklyinthecallusiscalledwoven
bone,butintheconsolidationstageitisreplacedbythestrongerlamellar
bone.Thisprocessmaytakemonths.

Nonsense(17)
Obs+Gynae(9)
Pathology(20)
Pharmacology(32)

Remodellingthehealedbone'slamellaealignthemselvespredominantlyin
thedirectionoftheforcesactingonthebone,andexcessivebitsofboneare
reabsorbed.

Physiology(82)
QuestionoftheWeek(47)

Aboutme...

Thereisanicepictureofthestageshere.
Thiswholeprocesstakesanaverageof68weeksforupperlimbfracturesand1216
weeksforlowerlimbfractures,butthereisalotofvariationinthesefigures.Thebiggest
factordetermininghealingtimeisagechildrenhealmuchquicker(andmuchbetter)than
adults.

I'mamedicaldoctor.Butenough
aboutme...

Postedbyjeremyat20:06

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Labels:Pathology

2comments:
Anonymous 8June2008at09:57
Moreinformationonbonefractures,bonehealingandvariousfixationmethods(Taylor
SpatialFrameorIlizarov)canbefoundhere.

Jeremy
GeneralMedicine
Community

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PriyankaSuri 29February2016at15:47
Nice post.People looking for fracture healing hospital in Jhansi can visit Jhansi
orthopedic hospital where you get proper treatment for it. For more detail contact
9935984446.
Reply

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