Fracture repair can be envisioned as involving five distinguishable processes, including the immediate response to injury, intramembranous bone formation, chondrogenesis, endochondral bone formation leading to the reestablishment of load bearing function, and bone remodeling.
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fracture repair
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Because fracture repair resembles embryonic bone development and the relevant signaling molecules are conserved, downstream signaling events are likely conserved in fracture repair.
The dominant initiators of fracture repair are most likely cytokines and growth factors released into the fracture site after injury.
The review describes fracture repair as five distinguishable processes: immediate injury response, intramembranous bone formation, chondrogenesis, endochondral bone formation, and bone remodeling.
The first four fracture-repair processes occur simultaneously and are likely to influence one another, whereas extensive remodeling follows and restores full biomechanical integrity.
Fracture repair is associated with elevated local levels of growth factors, cytokines, and their receptors, and their spatially and temporally regulated induction suggests active roles in repair.