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Important Factors in Promoting Fracture Healing

Rebecca Neiduski, Ph.D., OTR/L, CHT

August 21, 2012

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Question

What are some important factors in promoting fracture healing?

Answer

One of the most important factors to promote in fracture healing is a balance between stability and mobility.  This is accomplished by keeping the joints in a good position and well supported, while encouraging distal joint movement.  In order to keep the joint in a good position during the immobility phase of healing, it needs to be placed in a "close-packed" position.  This position is optimal because it keeps the ligaments taut, maintains maximal joint surface congruency and minimizes joint space.  Distal joint movement is encouraged as it allows for tendon gliding, decreased edema, decreased scar tissue and increased function once the fracture is healed.


rebecca neiduski

Rebecca Neiduski, Ph.D., OTR/L, CHT

Rebecca Neiduski received her Master’s in Occupational Therapy from Washington University and a PhD in Education from Saint Louis University. She serves as the Dean of the School of Health Sciences at Elon University in North Carolina. Becky has educated therapists in Guatemala, Romania, Egypt, Saudi Arabia, and South Africa, and has contributed to medical missions in Guatemala, Haiti, Nicaragua, and Cambodia. Becky was honored with the ASHT Paul Brand Award of Professional Excellence in 2014 and the ASHT Nathalie Barr Lectureship Award in 2016.


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