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Questions and Answers
What is the initial phase of fracture healing where blood vessel damage leads to necrosis called?
What is the initial phase of fracture healing where blood vessel damage leads to necrosis called?
- Remodeling phase
- Inflammatory phase (correct)
- Ossification phase
- Reparative phase
What is formed during the reparative phase of fracture healing?
What is formed during the reparative phase of fracture healing?
- Periosteal membrane
- Hematoma
- Osteoblast matrix
- Cartilaginous callus (correct)
What type of cells are responsible for converting the cartilaginous callus to bone during the remodeling phase?
What type of cells are responsible for converting the cartilaginous callus to bone during the remodeling phase?
- Osteoclasts
- Osteoblasts (correct)
- Chondrocytes
- Fibroblasts
How long does it typically take for the cartilaginous callus to form after a fracture?
How long does it typically take for the cartilaginous callus to form after a fracture?
What occurs to the necrotic tissue in the initial healing phase?
What occurs to the necrotic tissue in the initial healing phase?
What is the primary factor that influences the healing time of a fracture?
What is the primary factor that influences the healing time of a fracture?
Which type of cells are involved in removing excess bone during the remodeling phase?
Which type of cells are involved in removing excess bone during the remodeling phase?
What is typically visible on an X-ray within 10 days after a fracture?
What is typically visible on an X-ray within 10 days after a fracture?
How long can the remodeling process of the bone take after a fracture?
How long can the remodeling process of the bone take after a fracture?
Flashcards
Fracture Healing Phase 1
Fracture Healing Phase 1
The inflammatory phase, characterized by blood clot formation (hematoma) and initial tissue damage.
Hematoma Formation
Hematoma Formation
A blood clot formed at the fracture site, crucial for initial healing.
Necrosis
Necrosis
Death of bone tissue from injury and lack of blood supply at the fracture site.
Reparative Phase
Reparative Phase
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Cartilaginous Callus
Cartilaginous Callus
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Remodeling Phase
Remodeling Phase
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Osteoblasts
Osteoblasts
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Healing Time Factors
Healing Time Factors
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Callus Remodeling
Callus Remodeling
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Study Notes
Fracture Healing Stages
- Hematoma Formation: Blood from damaged vessels forms a hematoma (blood clot) at the fracture site. This is the initial response.
- Inflammatory Phase: Necrosis (tissue death) occurs at the broken bone ends due to blood vessel damage.
- Necrotic Tissue Removal: Necrotic bone tissue is reabsorbed and replaced by new bone. This process is visible on X-rays usually within 10 days post-injury, appearing as fracture lines.
Reparative Phase
- New Blood Vessel Growth: New blood vessels form around the fracture site.
- Fibroblast Infiltration: Fibroblasts from the periosteum (membrane covering the bone) invade the clot, secreting collagen fibers.
- Cartilaginous Callus Formation: The collagen fibers form a cartilaginous callus, a mass of cells and fibers that bridges the broken bone ends.
- Callus Formation Time: The callus takes 2-6 weeks to form.
Remodeling Phase
- Callus Ossification: Osteoblasts (bone-forming cells) from the periosteum invade the callus, converting it to bone.
- Ossification Time: This process can take 3 weeks to several months, typically 4-6 weeks.
- Osteoclast Activity: Osteoclasts (bone-resorbing cells) gradually remove excess bone. This remodeling process leaves minimal evidence of a previous fracture.
- Remodeling Time: Remodeling may take up to a year.
Factors Affecting Healing Time
- Age: Younger individuals heal faster.
- Nutrition: Nutritional status affects healing time.
- Blood Supply: Adequate blood supply is crucial.
- Fracture Type and Location: Specific fracture types and locations influence healing time.
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