What is it about?
Our paper unifies 3 theories on how broken bones heal, namely those of Wolff, Perren and Frost. The main focus is on achieving the optimum biomechanical strain environment at the cellular level for a fracture to heal and we explain why sometimes this fails to happen and a nonunion results.
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Why is it important?
This is the first time such a concept has been put to 21st Century Orthopaedic surgeons, many of whom rely on 20th Century dogma that insisted on surgeons having to use bone grafting for both acute and chronic fracture injuries without being able to truly rationalise, at a scientific level, why one should do so.
Perspectives
This paper should stimulate thought and new ideas from its readers. It challenges old belief systems in how fractures heal and offers a scientific explanation as to the truth of what happens in clinical practice and also what changes at the cellular level in a broken bone.
Mr Kevin JH Newman
St Peter's Hospital, Chertsey, Surrey
Read the Original
This page is a summary of: A unified theory of bone healing and nonunion: BHN theory, The Bone & Joint Journal, June 2016, Bone & Joint,
DOI: 10.1302/0301-620x.98b7.36061.
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