Principles of Bone Healing
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Questions and Answers

During which phase of bone healing does the formation of a blood clot occur?

  • Inflammatory phase (correct)
  • Restorative phase
  • Remodeling phase
  • None of the above

What is the main function of phagocytes during bone healing?

  • To repair damaged osteocytes
  • To form a soft callus
  • To clean the site of necrotic tissue (correct)
  • To promote neovascularization

What can happen if the haematoma formed during bone healing breaks out into surrounding tissues?

  • Compartmental syndrome
  • Hypovolaemic shock
  • Excessive blood loss
  • All of the above (correct)

Which phase of bone healing is characterized by the formation of a soft callus?

<p>Restorative phase (B)</p> Signup and view all the answers

What is the purpose of the restorative phase in bone healing?

<p>To begin remodeling the bone (C)</p> Signup and view all the answers

During the restorative soft callus phase, the callus that forms is similar to which type of tissue?

<p>Hypercellular fibrocartilaginous tissue (C)</p> Signup and view all the answers

At what point does the bony callus formation typically occur?

<p>Around two weeks after the fracture (A)</p> Signup and view all the answers

What is the remodelling phase dependent on?

<p>The physiological requirements of the bone (B)</p> Signup and view all the answers

Which type of healing is characterized by direct bone formation at the fracture line without significant creation of bone callus?

<p>First intention healing (A)</p> Signup and view all the answers

What is the typical duration of the restorative hard callus phase?

<p>6 weeks to 12 weeks (C)</p> Signup and view all the answers

Which of the following conditions is necessary for first intention healing to occur?

<p>Immediate stabilisation of the fracture (C)</p> Signup and view all the answers

What is the surgical procedure for achieving first intention healing?

<p>Application of osteosynthesis systems that compress the fracture lines (D)</p> Signup and view all the answers

Under what circumstances does second intention healing occur?

<p>Late treatment of the fracture (A)</p> Signup and view all the answers

What is the characteristic of a fracture that undergoes second intention healing?

<p>Poor blood supply and unstable repair (C)</p> Signup and view all the answers

What is the purpose of remodelling in fracture repair?

<p>To stabilize the fracture site (C)</p> Signup and view all the answers

What is the typical duration of the restorative soft callus phase?

<p>4 days to 3 weeks (B)</p> Signup and view all the answers

What is the process by which the newly formed cartilage of the soft callus tissue is substituted by bony tissue?

<p>Endochondral ossification (D)</p> Signup and view all the answers

When does the bony callus formation typically occur?

<p>2 weeks after the fracture (C)</p> Signup and view all the answers

What is the main function of osteoclasts during the remodelling phase?

<p>Resorption of bone (D)</p> Signup and view all the answers

What is the characteristic of healing by first intention?

<p>Direct bone formation at the fracture line (B)</p> Signup and view all the answers

What type of healing is more frequent in nature?

<p>Second intention healing (B)</p> Signup and view all the answers

During which phase of bone healing does the formation of a blood clot occur?

<p>Inflammatory phase (A)</p> Signup and view all the answers

What happens during the restorative soft callus phase?

<p>Formation of a soft callus (B)</p> Signup and view all the answers

What is the role of phagocytes during bone healing?

<p>Clearance of necrotic tissue (B)</p> Signup and view all the answers

What can happen if the haematoma formed during bone healing breaks out into surrounding tissues?

<p>Excessive blood loss and hypovolaemic shock (B)</p> Signup and view all the answers

Which phase of bone healing is characterized by the lysis of osteocytes and damage to soft tissues?

<p>Inflammatory phase (A)</p> Signup and view all the answers

What is the importance of the haematoma in bone healing?

<p>Neovascularization to the fracture site (A)</p> Signup and view all the answers

Which of the following conditions is necessary for first intention healing to occur?

<p>Absence of infection (D)</p> Signup and view all the answers

What is the purpose of remodelling in fracture repair?

<p>To restore bone to its original shape and strength (C)</p> Signup and view all the answers

What is the characteristic of a fracture that undergoes second intention healing?

<p>Poor blood supply to the bone (B)</p> Signup and view all the answers

What is the surgical procedure for achieving first intention healing?

<p>Fixation with a dynamic compression plate (B)</p> Signup and view all the answers

During which phase of bone healing does the formation of a soft callus occur?

<p>Restorative soft callus phase (B)</p> Signup and view all the answers

What is the main function of phagocytes during bone healing?

<p>To remove debris and dead cells (C)</p> Signup and view all the answers

What is the typical duration of the restorative hard callus phase?

<p>Varies depending on the individual (B)</p> Signup and view all the answers

During which phase of bone healing does bony union of the callous occur?

<p>Restorative hard callus phase (D)</p> Signup and view all the answers

During which phase of bone healing does the formation of a blood clot occur?

<p>Inflammatory phase (A)</p> Signup and view all the answers

What is the main function of phagocytes during bone healing?

<p>To clean the site and remove necrotic tissue (C)</p> Signup and view all the answers

What can happen if the haematoma formed during bone healing breaks out into surrounding tissues?

<p>Excessive blood loss and hypovolaemic shock (C)</p> Signup and view all the answers

During the restorative soft callus phase, what type of tissue does the callus that forms resemble?

<p>Hyper cellular fibrocartilaginous tissue (C)</p> Signup and view all the answers

What is the typical duration of the restorative hard callus phase?

<p>12 weeks (C)</p> Signup and view all the answers

What is the main function of osteoclasts during the remodelling phase of bone healing?

<p>Bone remodeling (C)</p> Signup and view all the answers

Which of the following conditions is necessary for first intention healing to occur?

<p>Immediate stabilisation of the fracture (C)</p> Signup and view all the answers

What is the characteristic of a fracture that undergoes second intention healing?

<p>Late treatment and poor blood supply (C)</p> Signup and view all the answers

During which phase of bone healing does the formation of a soft callus occur?

<p>Restorative soft callus phase (C)</p> Signup and view all the answers

What is the purpose of remodelling in fracture repair?

<p>To restore normal bone structure and strength (A)</p> Signup and view all the answers

______ can lead to excessive blood loss and hypovolaemic shock.

<p>Compartmental syndrome</p> Signup and view all the answers

The restorative phase is characterized by the formation of ______.

<p>Soft callus</p> Signup and view all the answers

The inflammatory phase is related to the ______ that has just occurred.

<p>Actual damage</p> Signup and view all the answers

At the end of the process - the ends of the ______ are enveloped by fusiformis known as a callus – similar to scars found on skin after healing by secondary intention

<p>bones</p> Signup and view all the answers

The restorative soft callus phase is characterized by the formation of a relatively soft callus that resembles hyper cellular ______ tissue.

<p>fibrocartilaginous</p> Signup and view all the answers

During the remodelling phase, the bony hard callus will start to ______, depending on the function of the limb and how the fracture is set.

<p>remodel</p> Signup and view all the answers

______ is a fracture in the femur - you can see that there is a proximal distal fracture. We can fix this with a dynamic compression plate as seen in the second image.

<p>This</p> Signup and view all the answers

During first intention healing, it is important ______ is maintained and not excessively damaged - especially the interosseous supply.

<p>the blood supply</p> Signup and view all the answers

Second intention healing is produced when ______ occur: • Late treatment – hasn't been managed early on - may already have soft callus formation occurring

<p>the following circumstances</p> Signup and view all the answers

Once it has produced a hard callus and stabilise the site then we see ______.

<p>remodelling</p> Signup and view all the answers

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