How Does Broken Bone Heal?
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- Опубліковано 5 січ 2023
- The fractured bone heals by different stages.
healing starts by hematoma and ends by remodeling
this Educational video describing the mechanisms and stages of fracture healing by secondary bone healing. it will explain both types of bone healing.
Primary bone healing
Cutting cone mechanism
There is no motion at the fracture site. Seen in rigid fixation of fractures such as in plate fixation. Minimal callus formation.
What is a cutting cone?
Osteoclasts at the front remove the dead bone. Osteoblasts lay down new bone at the site of the old bone. Osteoclast eat up or dissolve the bone tissue with their powerful enzyme systems. Osteoblasts lay down new bone stimulated by hormones and growth factors.
Cutting cones are formed that cross the fracture site. This is a slow process often taking months to years to complete.
Contact healing
Contact between the fracture ends allows healing to begin immediately.
Gap healing
•Larger gaps do not heal very well.
•Could be filled with fibrous tissue.
Secondary bone healing
Endochondral mechanism
•Seen in flexible fixation of fractures such as fractures stabilized by rods and casts. Occurs with abundant callus.
•Undergoes endochondral ossification.
•Chondrocytes hypertrophy and degenerates then calcify followed by vascular invasion and ossification.
Stages of fracture healing
1-Hematoma
2-Inflammation
3-Soft callus
4-Hard callus: woven bone = hard callus
5-Remodeling: remodeling is a process by which immature or woven bone is converted to mature or lamellar bone. The meduallry cavity is reconstituted and bone is reconstructed in response to stress. There is more remodeling potential in children.
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Legends are watching this with a fractured bone 😂
Edit: THANK YOU SO MUCH FOR 1.3K LIKES LMAO!!
My own personal x-ray machine is on the blink so this explanation will have to do until my ortho decides to x-ray my leg again in a few weeks ;-) My couch has begun to form around me I've been so immobile...
Haha yeah 😂
Yup😂
Haha hell yeah😂
I broke my humerus 2 weeks ago
I absolutely love that we all had the same thought and came here after injuring ourselves.
Facts lol
same lol
no im just curious my bone can split earth core
Just fractured my wrist, so painful!
@jackiemurray2265 my finger broken 3months now .. I'm from barbados hurts daily
I hope you guys are healing fast 🙏
Hahaha im
Iam very sad for it 😭
Watching this post 40 days of ankle bone fracture..😅😅
Happy recovery to all newly fractured friends..🙂
I’m 3 weeks in of my ankle bone fracture waiting for easier days to come
3 weeks in wrist fracture😌😅
@@SkynByShadenehave you gotten the boot or the cast? And does it still hurt when weights on it?
@@Nicofries4 I got the cast- so no weight can be applied.. I’m moving up to the boot in 2 weeks n will be able to start to bear weight on it
How much it took for healing
Typing this with a wrist brace on my left hand, God is really amazing. The natural ability of the human body to heal and restore itself is really just a miracle. Stay safe guys, and I hope everyone here makes a full recovery!
3 Weeks later Update: My wrist is pretty much fully recovered! (It was just a sprain, but still impressive). I wish everybody the best of luck on healing!
Typing this with my left hand to my right hand ia broken too God is good
How long before the pain went? My right wrist is fractured and it's only 6 days and I'm fed up already! L can't do much x
just got into a serious car accident almost lost my life…now im here watching this with 3 fractured ribs and a broken nose💔
hope you are good now
Been three months now since my fractured ankle incident.. On my way to complete recovery🙏❣️thank God for the fast healing.
How are you now bro
Are you fully recovered can you run and do sports and everything
I fractured c5 in my cervical spine, got so lucky, will make a full recovery. They said it was literally best case scenario. Wishing everyone a fast recovery and ya’ll please stay safe!
Who else broke a bone when your sports season was just starting
Me mahn, my knee got cracked...it's been 2 weeks nuh
Yep cracked thumb 😞
Stress fracture, 4th metarsal, distance runner :(
Me also. Broken ankle
That would be me 😭
As an orthopedist preparing for the final exam, this was just the video I needed, thank you very much!
IT COMES IN THE TEST, MUST KNOW THE ORDER
Bro I need ur num it's urgent
Congrats !
Hope you be a successful doctor
It's reassuring to know doctors are learning things from youtube videos...
As a patient 3 weeks out from IM nail in distal spiral frac, this has been a wonderful explanation of what's going on in my tibia. Thanks!
Seeing this way later I have a question, so can you tell me what happened as the weeks went on like did you transistion too a walking boot or not and how long did it take to fully heal? Plus my last question is after it healed did you get right back in normal activities?
Dam, I done my tibial plateau in February.
How you getting on?
@@playboyraccI’m gona guess they aren’t 100% yet
@@playboyraccI’m about to get some x rays done in a week. If everything is healing good I will be on a walking boot. Slowly but surely healing 🙏🏽
Stand proud I also have spiral frac
It's been 33 days since my ORIF operation in my left femur, i can walk it out off already.
Thank God.
Thank you so much for this video, it was so so clear, I find the human body so fascinating!
It is a well explained video.Thanks a lot Dr Nabil.I wish the time line for different stages if mentioned would have helped.
Fell getting off canal boat, fractured humerus. Hope you all who have fractures heal fast with as little pain as possible. The pain I have is draining, causing disturbed sleep. I'm going to buy a tens machine in the hope that it will lessen the pain. Love and best wishes from England ❤
that was really helpful and explained so good, thank you so much! I wish you all the best
Best explanation I've had.
Even from my orthopedic doctor.
I fell down the stairs and fractured my left upper fibula and my right ankle has a severe sprain.
Needless to say its been a challenge.
I fractured my near mid fibula on my right leg from sliding and rolling my ankle, did your foot get swollen? Mine is still swollen after 3 weeks
I had bone lengthening procedure on a mal union of a fractured femur. Success. If you have a fracture have total confidence your bone will heal. It can't be stopped.
I don't have a broken bone but videos like this helps me sleep. I feel weak and sleepy just from watching
very easy and good explanation thank you!
i pray everyone stays healthy...its very painful to suffer from physical and mental issues....
It was helpful indeed! My fracture, 96 yr old moms fracture and friends... l love knowing how our bodies wirk! Thank tou so much!!
THANK YOU
Hi Sir, yes this is very helpful indeed. Thanks for sharing!
Thank you! Very clear explanation
Had a humerus fracture 3 years ago due to a close range gunshot injury. Had a bone graft surgery with internal fixation using a graft from my fibula. Healed and did physiotherapy and was fully recovered but the internal fixator was preventing me from getting full range of motion.
Took out the implant last month. Started physiotherapy this month and my hand got fractured during a physiotherapy session.
😢
Very good . request to make a video correlating this with time and radiographs
Fractured finger :) and I’m praying it heals!
how are you now?
Thank you for this informative video!!!
Very nice having the animation video for clarity.
Many thanks!
You are the best Dr Ebraheim. Thank you
THANK YOU
Fractured my scapula (shoulder blade) in a motorcycle accident. Hope it heals properly and rapidly. Thanks for the info, Doc
hope u are okay now
I watch this video because my sons arm has been dislocated. Now he's in healing process. I was afraid and panic when I saw my Sons hand deform. Hopefully he will recover faster
so so so much helpful!!! Thank you!!!
Thank you, Dr. Ebraheim, for your videos. Had my elbow fractured, 2 surgeries with plate & screws in my right elbow.
THANK YOU FOR YOUR COMMENT
Hope you're feeling better and far along in your healing!
@@CapybaraCM , thank you. Praying for your fast healing and recovery.
I fractured my elbow too wish I could talk to u and share my opinion on it
I broke a bone on my arm..
Thank u for letting me learn. About healing.
Thanks for this video. useful for bone fracture patient's. all is well.
Thank you, I'm curious how my body repair my collarbone that had being fractured.. wow it takes years to completely heal.
Great vid! Thanks! I believe I fractured my distal humerus when I dislocated my elbow but it was never treated as a fracture so now I have a protrusion along my lateral epicondyle. Just figured this out 18 years later 😂
Bro no way! I fractured my proximal humerus, but due to bad health care I guess they never treated me with a surgery just a cast, leading to a protrusion along my shoulder capsule, it’s nuts how bones heal without the right support
@@coricabala i would love to see an xray of my elbow! Have you seen images of your proximal humerus?
@@coricabala they did the same to me, I got a very bad displaced fracture on my humerus they just put a cast ... I'm currently on week 3, praying it heals fine ... are you good now?
@@katmafiakat 8 years later yeah never had any joint pain but bc of the misuse of the cast the bone grew back odd although on the upside it just looks like I have more muscle on my other arm lmao
Broke my humerus in a motorcycle accident at 70 kmh (i wore helmet, shoes & jacket). Currently in 3rd week now. I hope Allah heal us and make us all in ease, aamiin.
Awesome video!
thank you so much for the video
I just broke my tibia some weeks ago, and I have exams to write as a student nurse. This has not been easy, but I pray I heal faster 😢😢😊
Girl same and as a Pharmacy Student, and I still have to show up 😅 4 more days of schl thou🎉
😢 pray for me
How are you doing now ?
@@Semajwillow101was just boutta ask, broke mine a week ago
This explains why after 6-8 weeks post fracture healing, on resuming activity some people again refracture in the same spot, because the fracture healed is not solid enough.
Thank you Sir, very well presented.
Glad it was helpful!
I had my ankle fracture surgery a few days a go and this helps a lot. Thank you.
Same here. How are you now. Is there swelling on toes. How much weeks rest does doctor recommended. I had ankle orif surgery with 1plate and 2 screws. Its depressing
@@Ath-et9xm Three weeks after the surgery now. It's getting better, I guess. No major pain but a little swelling on the foot when I leave it unelevated. I have my next appointment with the doctor in the sixth week after the surgery to check if the bones heal and to know if I can start walking again.
Yes, it's surely depressing. It affects everyday life a lot but what can I do now is to stay calm and rest a lot.
Wishing you get better soon!
@@tomgetslost did your doctor suggested Walker or crutches or boots for partial weight bearing period?
@@Ath-et9xm I currently use crutches.
Thank you!
Very well explained !
🙂👏🙋🏻♂️👍👌
Thanks
My son had a fracture in the upper arm humerus. I wanted to quickly understand how the bone heals.. and this is a perfect quick video that explains straight to the point. Thank you so much.
it depends on the type of fracture for example there are types such as...comminuted,greenstick etc..out of which comminuted is kinda scary if the fracture is not huge ...it will take max one month...or it its huge then maximum 2-2.5 months
however serious commuted ones take enormous time and needs surgeries...i hope your son is doing well now🌎
Thank you for this now i know what stage my leg is
Would be useful to know length of time for each of the stages, roughly
It depends on the bone and the amount of blood that flows in it !
Thank you for clear visual and auditory explanation of the bone healing process👍👍
THANK YOU
very interesting, i always wondered how bones heal lol
Hey Dr Nabil, Just recently fractured the outer bone of my thumb (distal phalanx) on a table saw. The cut goes right diagonally through the pad and leaving a gap in the bone about 15mm deep and 5mm wide. Nonetheless the bone is still sort of one piece, just connecting to the bottom bit on one side. I am now wondering whether bone is generally capable of growing back over "big" gaps like that. Is it a matter of time, personal healing ability of the body or does it need some luck? I'd greatly appreciate your response! Thanks Simon
Please make a video about the displaced bone healing
Do you have also that for healing of herniated disc ? And if you can improve this by implement intermittend fasting , infra red treatments like they do to improve nerve regeneration ?
It's fascinating that the bone becomes more dense when it heals from a fracture..
I broke my fib, your video really helped me understand the healing
Hello,2years ago when i fractured my Tibia and Fibula,with the help of plenty of rest and good dieting i was healed and recovered in 5-months!!!
It is well explained video
I'm gonna send this to my cousin so that he won't worry that much. He just got his shin fractured last night.
Thanx but does is it possible fibrin blood clot to contain puss
It has been 28 days after jaw fracture surgery. Long road of recovery for me, but taking one day at a time.
Oh thank you so much 🙏
How long does it take the bone to heal? How many months?
Respected sir, does swelling occurs after 1-2 months of operation of the femur bone fracture? And it pains a little much
Very helpful..
I have a tibial spiral fracture. I have been in a full cast for 8 weeks and a walking boot for 3. I have recently noticed a hard bump behind my calf, close to the site of the fracture. Is this callus forming?
Your videos save me
Thank you so much sir 💗
Thanks
Thank you very much now I can do it at home
I don’t really understand the difference on if I need a plate or not for my wrist
At what point can someone start working out again during the healing process, especially with an ORIF surgery (plates)
Thanks sir
i just fractured my tibula and fibula and this video helps me to know how it heals, pretty cool
Me too it sucks to not be able to walk
@@Ivotedforobama i went through 2 surgeries doctor says ill walk in 3 months :(
@@modelotime3608 word I did too I was hit by a Jeep 2 months ago and I’ll be able to walk in a week you’ll get through it I know it’s tough
@@Ivotedforobama that sucks bro i fell off my longboard going downhill best of luck
@@modelotime3608 you too bro
What is preferable for long term healing of the bone: rigid fixation or less rigid fixation as with a cast? When should the broken bone be allowed to bear weight?
Depends on the fracture location and severity
I was fully weight bearing 4 weeks after a clean asf fracture of my tib and fib...
@@bradmace6144Surely I had similar fracture tibia and fibula fracture almost 5 weeks but still not bear weight ❤
I have a clavicle fracture and after your video, I think now, it is either soft callus or hard callus which has surrounded tthe fractured part. Will it always remain - the bump?
Thank u very much
5 months after surgery the patella fracture cannot yet be bent. The X-ray results of the callus are not yet clear
Great doctor
thanks
great video
What do you do if the bone stops at inflammation and never makes a soft callous ?
I think my knee bones are fractured. It only hurts when I apply a lot of pressure on it.
How long will it take to recover?
I broke 2 ribs on my right side. 4 weeks later i can literally punch myself in my side and it doesnt hurt. Guess it healed prerty good
Broke my hip 2 days ago
Already feeling a little better
Thanks , DrNabil, I had my 4 rib fractured 2 week before, I am on immunosuppressive, very much worried how my fractured ribs got healed
Plz if u give a time line , I will really appreciate it, plz help me
This was great, but I would have liked a time line. I broke my fibula just above my ankle. And just so anxious for it to heal.
Same
Me too. 2 weeks in. So worried about surgery. I know Tuesday if the doctor will put a rod inside my leg.. giving me so much anxiety. My fibula above the ankle split like in 3 places. Someone ran into me at work on a forklift.. ouch.
@@zaceishen7974 did you need surgery?
How's it healing
@@zaceishen7974whats ur contition now.. Can u replay same problem here
In other words, your body creates its own bone graft to mend the broken bone.
Thats how i interpreted this. Lol
I train Muay Thai and I’m watching this because my legs are constantly swelling due to the kicks I take or throwing kicks against someone’s hard defense. I usually just wait a few days to get the color back in my legs before I start going hard again. Im wondering what type of damage could be going on inside my legs and if I can really train them to be as hard as stone
I’m watching cuz my friend asked me how a bone heals itself💀💀
How long does it take until the inflammation part starts?
Sir
Trans syndesmotic fratcure of the left lateral malleoulus Weber type -b
How many days recover
Broken bone and got Blisters what does that mean and what to do to prevent it?
My lower jaw was broken and I had surgery on my face, thereby putting iron on the bone and I want to ask whether my bone will be as strong as before or not?
I got a metarcapal fracture recently, after a few days of using slab cast and swelling reduces, I noticed some deformity on the fracture, but the x ray shows otherwise before, is there any problem with my hand..
🏋🏻♀️🧗🏻♀️🏌️♀️🤺
Happy “old age” to everyone.
Thank you very much.
🎼🎷🎻🎹
I got injured in my ulna left arm, one week from the plate surgery
My question is at what stage is the cast taken off
I’m in stage 2, and I’m so ready to heal
Very helpfful
Glad to hear that
In inflammation stage , do the patients feel inflammation in broken area?
Watching this with a cast been 2 weeks since i fracture my wrist
Do we know the duration of each stage? For example, what about the metatarsal bone?
Sounds like you're in a similar situation as me. 😂. I broke the 2nd 3rd and 4th metatarsals behind the toe knuckle as well as shattered and dislocated my cuboid bone. The Dr said I'd be no weight bearing for at least 8 to 12 weeks. But for me, I needed surgery that I didn't get for two weeks after the accident, so my recovery clock started over. All from a low-speed. motorcycle accident. Good luck.