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How does the body repair a broken bone with a callus?

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When a bone suffers a fracture, the body initiates a repair process by forming a callus, which acts as a bridge of bony and cartilaginous material to reconnect the broken segments.1

The process unfolds in several stages:

  • Provisional Callus Formation: Within one to two weeks of the injury, osteoblasts—cells responsible for creating new bone—proliferate rapidly in the periosteum. They form collars around the fracture ends that grow toward each other to unite the fragments.1
  • Definitive Callus Formation: As the injury heals, the initial cartilage is resorbed and replaced by bone tissue. By two to three weeks, strong bony extensions successfully join the fractured ends.1
  • Remodeling: Over a period ranging from months to years, the callus is gradually resorbed. Through the process of bone remodeling, the bone restores its original structure and organized appearance.12