Hello everyone
How are you?! Happy easter to you all. Now in our class we have started clinical rotation and this week i was in pediatric surgical ward and i want to share with you a little bit about bone healing process in children where in bone healing process it involves three stages which are inflamatory stage , repair stage and remodeling stage and is quite important to understand the histological aspect of fracture healing. It is helpful in the clinical practice to recognize how fracture management induces biological reaction. Repair process is classified into primary and secondary fracture healing. Primary healing is direct bone repair without endochondral ossification, which includes cartilaginous callus formation. This pattern does not usually happen in the natural process of fracture healing. Bone remodeling initially occurs under the stable condition of fracture with rigid fixation and no gap formation. The key of this process is Haversian canal remodeling and reestablishment of blood vessels. Secondary healing is typically characterized by three overlapping stages: the initial inflammatory response, callus formation (soft and hard callus), initial bony union and bone remodeling. Most of fracture repair in the clinic follow this process, and callus formation is confirmed with X-ray. The key of this process is the appropriate stability of the fracture site to maintain biological healing response , the only difference between bone healing process in adults and children is that in the process in children takes place faster and easily compared to adults
Thank you , may you have a great week
Grace
How are you?! Happy easter to you all. Now in our class we have started clinical rotation and this week i was in pediatric surgical ward and i want to share with you a little bit about bone healing process in children where in bone healing process it involves three stages which are inflamatory stage , repair stage and remodeling stage and is quite important to understand the histological aspect of fracture healing. It is helpful in the clinical practice to recognize how fracture management induces biological reaction. Repair process is classified into primary and secondary fracture healing. Primary healing is direct bone repair without endochondral ossification, which includes cartilaginous callus formation. This pattern does not usually happen in the natural process of fracture healing. Bone remodeling initially occurs under the stable condition of fracture with rigid fixation and no gap formation. The key of this process is Haversian canal remodeling and reestablishment of blood vessels. Secondary healing is typically characterized by three overlapping stages: the initial inflammatory response, callus formation (soft and hard callus), initial bony union and bone remodeling. Most of fracture repair in the clinic follow this process, and callus formation is confirmed with X-ray. The key of this process is the appropriate stability of the fracture site to maintain biological healing response , the only difference between bone healing process in adults and children is that in the process in children takes place faster and easily compared to adults
Thank you , may you have a great week
Grace
