Sunday, 9 March 2014

Fractures

A fracture presents as a  loss of continuity in the substance of the bone. It can present as open, closed or complicated. Causes include direct violence (e.g. trauma), indirect violence (e.g. twisting), fatigue and stress (e.g. osteoporosis). 

Fracture Healing Process
  • Haematoma Formation
    • Within 3 days
    • Adjacent vessels are torn, limited blood supply to osteocytes
  • Sub-periosteal and endosteal cellular proliferation
    • Haematoma reduces
    • Cellular tissues push in
  • Callus Formation
    • Proliferated cells lay down intercellular substance (chondrogenic and osteogenic)
    • Becomes calcified to form woven bone/callus
    • Bone is united
  • Consolidation
    • Woven bone transformed into lamellar bone
    • Osteoclasts burrow through the debris
    • Osteoblasts fills in gaps between fragments (takes months)
    • Should be weight bearing by this stage
  • Remodelling
    • Bone strengthened in lines of stress by continual formation
    • Restored to original form

 Fracture Healing Time







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