14 - Bone Healing Flashcards
What two things are needed to heal a bone
Stability and vascular supply
2 kinds of bone healing
Primary and secondary
Primary bone healing
Healing without callus formation
The amount of calus formation is directly related to
Movement in the fracture after
Strain
Measure of relative movement of a fracture gap under patient loading
Primordial cell can develop into bone through
Directly or through cartilage model depending upon strain in fracture zone
Strain formula
Change in gap / original gap
In larger gaps, the strain
On individual cellls are reduced
If your strain gap is 2 % should heal by
Primary
If 20% should heal
Secondary bone healing
Direct bone healing characteristics
Gap < 2 mm, no intermediate fibrous tissue, and no movement
Direct bone healing, osteoclasts cut tunnel into
Cortical bone
Direct bone healing - behind the osteoclasts,
Osteoblast lay down concentric lamellar of bone
Primary bone healing is only for fractures you can
Compress
Relative stability
Controlled movement at fracture site
Indirect bone healing steps
Fibrocartilage - calcification - woven bone - lamellar bone - osteonal remodeling
Requirements of secondary bone healing is
Blood supply, reduction in length alignment and rotation, and movement