14 - Bone Healing Flashcards

1
Q

What two things are needed to heal a bone

A

Stability and vascular supply

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2
Q

2 kinds of bone healing

A

Primary and secondary

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3
Q

Primary bone healing

A

Healing without callus formation

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4
Q

The amount of calus formation is directly related to

A

Movement in the fracture after

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5
Q

Strain

A

Measure of relative movement of a fracture gap under patient loading

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6
Q

Primordial cell can develop into bone through

A

Directly or through cartilage model depending upon strain in fracture zone

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7
Q

Strain formula

A

Change in gap / original gap

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8
Q

In larger gaps, the strain

A

On individual cellls are reduced

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9
Q

If your strain gap is 2 % should heal by

A

Primary

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10
Q

If 20% should heal

A

Secondary bone healing

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11
Q

Direct bone healing characteristics

A

Gap < 2 mm, no intermediate fibrous tissue, and no movement

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12
Q

Direct bone healing, osteoclasts cut tunnel into

A

Cortical bone

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13
Q

Direct bone healing - behind the osteoclasts,

A

Osteoblast lay down concentric lamellar of bone

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14
Q

Primary bone healing is only for fractures you can

A

Compress

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15
Q

Relative stability

A

Controlled movement at fracture site

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16
Q

Indirect bone healing steps

A

Fibrocartilage - calcification - woven bone - lamellar bone - osteonal remodeling

17
Q

Requirements of secondary bone healing is

A

Blood supply, reduction in length alignment and rotation, and movement