Table 4.
Bone Repair Phase | Key Events | Signaling Molecules |
---|---|---|
Inflammation | Production of pro-inflammatory cytokines, chemokines, and growth factors Recruitment of polymorphonuclear neutrophils, macrophages, and platelets Activation of the blood coagulation cascade Formation of hematoma Angiogenesis |
Tumor necrosis factor-α Interleukin-1, -6, -11, -18 Platelet-derived growth factor Transforming growth factor-b1 Tumor-derived growth factor-β Insulin-like growth factor Fibroblast growth factor-2 |
Bone production | Differentiation of progenitor cells into chondrocytes Formation of fibrocartilage Fibrocartilage calcification Woven bone deposition |
Bone morphogenetic protein Tumor-derived growth factor-β2 and -β3 |
Bone remodeling | Differentiation of osteoprogenitor cells into osteoblasts and osteoclasts Resorption of woven bone Deposition of lamellar bone |
Interleukin-1, -6, -11, and -12 Tumor necrosis factor-α Interferon-γ |