Can the Body Absorb Fragments from a Comminuted Fracture? - Orthopedics

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Comminuted fracture


In the case of comminuted fractures or bone spurs, if the bone fragments are not completely removed, will the human body absorb these bone fragments through the skin?

1, 40~49 year old female. Ask Date: 2010/06/11

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, some may be absorbed, but most will not be absorbed.
If clinical symptoms occur, such as tenderness or limitations in movement, it is still advisable to seek treatment.
However, each individual's situation is different, so it is best to discuss this with your attending physician.
Wishing you all the best!

Reply Date: 2010/06/11

More Info


Comminuted fractures, characterized by the breaking of a bone into multiple fragments, can pose significant challenges for healing and recovery. When it comes to the body's ability to absorb bone fragments from such fractures, the answer is nuanced and depends on several factors.

Firstly, the human body has a remarkable capacity for healing, but it does not typically "absorb" bone fragments in the way one might think. Instead, the healing process involves the formation of new bone tissue around the fracture site. If fragments are small and not causing any complications, the body may encapsulate them with fibrous tissue, but this does not equate to absorption. In some cases, the body can reabsorb small amounts of bone material, but this is not a reliable or predictable process, especially with larger fragments.

In the case of a comminuted fracture, if the fragments are not properly aligned or stabilized, they can lead to complications such as nonunion (where the bone fails to heal) or malunion (where the bone heals incorrectly). This is why surgical intervention is often recommended for comminuted fractures. Surgical options may include internal fixation with plates and screws or external fixation devices that stabilize the bone fragments and allow for proper healing.

Moreover, if bone fragments are left in the body, they can sometimes lead to complications such as infection or chronic pain. In some cases, if the fragments are not causing any issues, doctors may choose to leave them alone, especially if surgery poses a higher risk than the potential complications from the fragments. However, this decision is highly individualized and should be made in consultation with an orthopedic specialist.

In terms of the body's natural healing processes, it is important to note that the healing of bone involves several stages: inflammation, bone production, and bone remodeling. During the inflammation stage, the body sends cells to the fracture site to begin the healing process. In the bone production stage, new bone tissue is formed, which can help stabilize the area. Finally, in the remodeling stage, the bone continues to strengthen and reshape itself over time.

If you have a comminuted fracture, it is crucial to follow your doctor's recommendations regarding treatment and rehabilitation. This may include physical therapy to regain strength and mobility, as well as regular follow-up appointments to monitor the healing process. If you have concerns about bone fragments or the healing process, it is essential to discuss these with your healthcare provider, who can provide personalized advice based on your specific situation.

In summary, while the body has some capacity to deal with bone fragments, it does not absorb them in the traditional sense. Proper medical evaluation and treatment are essential to ensure optimal healing and recovery from a comminuted fracture. Always consult with a healthcare professional for guidance tailored to your individual circumstances.

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