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Journal of Bone and Joint Surgery, 1931;13:491-501.
© 1931 by The Journal of Bone and Joint Surgery, Inc

THE BREAKING STRENGTH OF HEALING FRACTURES

MERRILL K. LINDSAY M.D.1 and EDWARD L. HOWES M.D.1

1 The Department of Surgery, School of Medicine, Yale University.

1. A quantitative method is described and a basic curve developed, indicating the breaking strength of regenerating bone.

2. Strength first manifests itself by the sixth day and then increases rapidly to the twenty-first day. It was observed that the callus grew steadily larger during this time.

3. There is a period of decline in strength after the twenty-first day, during and following which time the callus decreases in size.

4. There is a secondary rise in strength from the thirty-third to the forty-fifth day.

5. A strength is attained on the twenty-first day which is comparable to that on the thirty-ninth, but a period of weakness exists between the two.

6. There is a direct-correlation between the results of this study and previously observed histological facts and clinical data.


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