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Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bone formation, or ossification, begins around the sixth to seventh week of embryonic development. Most bones develop from a cartilaginous template through the process of endochondral ossification. Cartilage formation begins when clusters of mesenchymal cells differentiate into chondrocytes. These chondrocytes proliferate rapidly and secrete an extracellular matrix that becomes encased in a membrane called the perichondrium. The resulting cartilage model provides a template that resembles the...
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Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
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Changes in the Appendicular Skeleton with Age01:09

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The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
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Related Experiment Video

Updated: Mar 11, 2026

An Efficient and Reproducible Protocol for Distraction Osteogenesis in a Rat Model Leading to a Functional Regenerated Femur
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Residual bone growth after lengthening procedures.

Pierre Journeau1, Pierre Lascombes2, Dominique Barbier3

  • 1Paediatric Orthopaedic Surgery Department, Nancy University Hospital Centre, Children's Hospital, Vandoeuvre lès Nancy, France. p.journeau@chru-nancy.fr.

Journal of Children'S Orthopaedics
|November 24, 2016
PubMed
Summary

Predicting growth after limb lengthening in children is crucial. This study identifies key factors like age and procedure timing that promote normal residual growth in pediatric orthopaedic surgery.

Keywords:
Lower limb length discrepancyProgressive bone lengtheningResidual growth

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Area of Science:

  • Paediatric Orthopaedic Surgery
  • Limb Length Discrepancy Management

Background:

  • Limb length discrepancy (LLD) is a significant concern in pediatric orthopedics.
  • Accurate prognosis of LLD is essential for effective treatment strategies.
  • Predicting residual bone growth after lengthening procedures remains challenging.

Purpose of the Study:

  • To describe patterns of post-bone lengthening growth in children.
  • To identify factors influencing normal residual growth after limb lengthening.
  • To provide evidence-based criteria for optimizing bone lengthening procedures.

Main Methods:

  • Analysis of a cohort of 150 children undergoing bone lengthening.
  • Identification and categorization of five distinct post-intervention growth patterns.
  • Statistical analysis to determine factors associated with favorable residual growth.

Main Results:

  • Five distinct patterns of post-intervention growth were observed.
  • Favorable factors for normal residual growth include: pre-pubertal bone age, >3 years between procedures, <30% lengthening per segment, and ≤2 procedures during infancy.
  • Age, percentage of lengthening, and number of procedures significantly impact residual growth.

Conclusions:

  • Bone lengthening strategies must be individualized based on prognostic factors.
  • Specific criteria can help maintain good residual growth potential in pediatric patients.
  • Understanding these factors improves outcomes for children with limb length discrepancy.