Brian S. Beale, September 2004
Biologic fracture management is a technique used to optimize the effectiveness of well-documented principles of indirect bone healing.1-7 It can be used with all types of fractures, but is particularly helpful for stabilizing comminuted fractures that are difficult to reconstruct. Preservation of multiple fracture gaps avoids high interfragmentary strain, favoring bone healing (Figure A). Conversely, fractures reconstructed to a single fracture gap have high strain, which reduces the stimulus for bone callus formation.