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Bone Healing
Statistics
Fractures of extremities most common
More common in men up to 45 years of
age
More common in women over 45 years of
age
Before 75 years wrist fractures (Colles)
most common
After 75 years hip fractures most common
Types of fractures
Magnitude
Closed
Transverse fracture
Usually
Spiral or Oblique
Caused
Greenstick
Occurs
Crush fractures
Fracture
Burst fracture
Occurs
Avulsion fracture
Fracture dislocation/subluxation
Fracture
Impacted fracture
Bone
other.
Comminuated fracture
Two
Stress fracture
Reduction
Open
reduction
How to Handle
Fractures
weeks
External fixation
Internal fixation
Intermedually nails, compression
plates
Frame fixation
External fixation
Used
Frame fixation
Allows
Internal fixation
Bone Healing
1. Fracture hematoma
blood from broken
vessels forms a clot.
6-8 hours after
injury
swelling and
inflammation to dead
bone cells at fracture
site
2. Fibrocartilaginous callus
(lasts
3. Bony callus
(after
3 weeks and
lasts about 3-4
months)
osteoblasts
make woven bone.
4. Bone Remodeling
Osteoclasts
remodel woven
bone into
compact bone
and trabecular
bone
Often no trace
of fracture line
on X-rays.