Here, then, is a kind of splint which nature contrives, and which is
nearly completed within a week from the date of the accident. We call this
new formation the _callus_. This process goes on, the surrounding
substance becoming thicker and of still firmer consistence. In the course
of a few days more, the thin jelly which lay in contact with the broken
ends of the bone has disappeared, and its place is supplied by a callus
continuous with that which formed the original capsule. This is the
termination of the first stage of curative progress. The broken ends of
the bones are now completely imbedded in a mass of vascular organized
substance or callus, something between gristle and cartilage in
consistence; and as yet there are no traces of bony matter in it. At this
time, if you remove the adventitious substance, you will find the broken
ends of bone retaining exactly their original figure and presenting the
same appearance as immediately after the fracture took place.
At the end of about three weeks, if you make a section of the callus,
minute specks of earthy matter are visible, deposited in it here and
there, and at the same time some of the callus, appears to disappear on
the outside, so that the neighboring muscles and tendons no longer adhere
to it. The specks of bone become larger and more numerous until they
extend into each other; and thus by degrees the whole of the callus is
converted into bone. Even at this period, however, there is not absolute
bony union, for although the whole of the callus has become bone, it is
not yet identified with the old bone, and you might still pick it off with
a penknife, leaving the broken extremities not materially altered from
what they were immediately after the injury. This may be regarded as the
end of the second stage of the process by which a fracture is repaired.
Now a third series of changes begins to take place. The broken extremities
of the bones become intimately united by bony matter passing from one to
the other. The mass of new bone on the outside, formed by the ossification
of the callus, being no longer wanted, is absorbed; by degrees the whole
of it disappears, and the bone is left having the same dimensions which it
had before the occurrence of the accident.
The process of union is completed in young persons sooner than in those
advanced in life; in the upper extremities sooner than in the lower; and
in smaller animals more speedily than in man. In human subjects a broken
arm or forearm will be healed in from six to eight weeks, while a leg or
thigh will occupy nine or ten weeks.--SIR B. C. BRODIE.
FIG. 69.
[Illustration: FIG. 69. a. _Monkey's Hand and Foot._ b. _Human Hand
and Foot._]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account