A case for optimising fracture healing through inverse dynamization

A case for optimising fracture healing through inverse dynamization.

The mechanical conditions in the repair tissues are known to influence the outcome of fracture healing. These mechanical conditions are determined by the stiffness of fixation and limb loading. Experimental studies have shown that there is a range of beneficial fixation stiffness for timely healing and that fixation stiffness that is either too flexible or too stiff impairs callus healing. Howe...

The Effect of Inverse Dynamization on Bone Healing

The biology of fracture healing: optimising outcome.

Optimising the results of fracture treatment requires a holistic view of both patients and treatment. The nature of the patient determines the priority targets for outcome, which differ widely between the elderly and the young, and between the victims of high and low energy trauma. The efficacy of treatment depends on the overall process of care and rehabilitation as well as the strategy adopte...

Healing of pathological fracture in a case of multiple myeloma.

To cite: Vaishya R, Vijay V, Agarwal AK. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016218672 DESCRIPTION A man aged 41 years presented to us with a lytic lesion in the proximal humerus and developed a pathological fracture which was managed with nailing (figure 1). He was eventually diagnosed with multiple myeloma. This patient underwent autologous bone mar...

Fracture healing

Those of us who have experienced a significant fracture likely recall first the pain of the injury, then we often focus our attention on the prospect of time in a cast or other form of extended immobilization. We imagine the discomfort and limitations that will ensue, and after all else settles down, we often wonder, “How strong are my bones anyway, and will I fracture again?” Nature, on the o...