Fracture Healing

dr. m.irfan guranda

According by SALTER, APLEY and SALOMON

 CONTENT

INTRODUCTION

TYPE BONE REMODELING

ISSUE OF CONCERN
 INTRODUCTION
Bone fracture healing: is an intricate and fluent regenerative process that aims
at restoring the damaged bone to its pre-injury state and cellular composition
 Bone fracture healing

There are two main modes of bone healing:

1. Primary bone healing

2. Secondary bone healing
 • Primary Bone Healing
healing by direct union:

1. Gap Healing
2. Contact healing
l
• Primary Bone Healing
 Secondary Bone Healing
• Hematoma (blood-filled swelling) is formed
• Break is splinted by fibrocartilage to form a callus
• Fibrocartilage callus is replaced by a bony callus
• Bony callus is remodeled to form a permanent patch
Stages in the Healing of a Bone Fracture

Hematoma
External Bony
callus callus of
spongy
bone
Internal
callus New
(fibrous Healed
blood fracture
tissue and vessels
cartilage)
Spongy
bone
trabecula
Hematoma Fibrocartilage Bony callus Bone remodeling
formation callus formation formation

Figure 5.5, step 4

• Issues of Concern
Local Factors

1. The Blodd Supply and The Biological Environment are

2. Infection

• Systemic Factors

1. Endocrine & Malnutrion

2. Obesity
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