Table 1.
Different bone healing processes promoted according to osteosynthesis system in long bone shaft fractures (Claes and Heigele, 1999; Perren, 2003).
| Osteosynthesis type | Fracture type | Interfragmentary strain | Healing pathway | Callus type |
|---|---|---|---|---|
| Intramedullary nail | Simple Multifragmentary |
+ ++ |
Direct Indirect |
Cortical Periosteal Endosteal |
| Dynamic compression plate | Simple | − | Direct | Cortical |
| Locking compression plate | Multifragmentary | ++ | Indirect | Periosteal Endosteal |
| External fixator |
Open Simple Multifragmentary |
+ +++ |
Direct Indirect |
Cortical Periosteal Endosteal |