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3 Phases of Healing
1. Acute Inflammatory
2. Fibroblastic Repair
3. Maturation-Remodeling
2.
Principles of Bone Healing
Inflammatory Phase: A hematoma forms within the first few days. Granulation tissue forms and the primary oxygen supply is provided by exposed cancellous bone and muscle (6).
Fibroblastic Repair: A cartilaginous callus is formed, which undergoes mineralization, resabsorption, and is replaced by bone. A fibrin-rich granulation tissue is also formed in this phase (7).
Maturation-Remodeling: The healing bone is restored to its original structure, shape, and mechanical strength. Remodeling of the bone occurs over a span of months to years and is facilitated by mechanical stress and axial loading (Wolff's Law) (6).
10 Objectives of Rehabilitation
1. Structural Integrity
2. Pain-Free Joints and Muscles
3. Flexibility
4. Muscular Speed
5. Muscular Strength
6. Muscular Power
7. Muscular Endurance
8. Integrated and Coordinated movements
9. Agility
10. Cardiovascular Fitness
About a Jones Fracture
The Jones fracture was described by Sir Robert Jones in 1902. A Jones fracture is an acute fracture of the fifth metatarsal between the proximal diaphysis and metaphysis of the fifth metatarsal. The mechanism of injury occurs when there's simultaneous abduction of the forefoot and ankle plantarflexion. This kind of fracture receives less blood supply and is more susceptible to stunting the healing process. Its recognition includes: delayed union and complications during treatment (1).
"Your setback is the platform for your comeback (22)."
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