Читать книгу Fractures in the Horse - Группа авторов - Страница 163

Bone healing is a complex paradigm, and thorough understanding of the process is necessary in order to make sound clinical judgements when managing fracture cases. An understanding of the healing process is also necessary as new techniques and medications become available. In human medicine, the ‘diamond concept’ has been proposed as a means to follow fracture healing (Figure 6.4). This addresses all the various factors that influence fracture healing, including the osteogenic cell population, osteoinductive stimulants, osteoconductive matrix, mechanical stability, vascularity and host factors. These guidelines should all be considered when managing fractures in horses.

Figure 6.4 The diamond concept for fracture repair demonstrating the key elements involved in the complex organization of bone healing.

Source: Based on Giannoudis et al. [23].