Orthonotes
Orthonotes
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Types of Callus in Fracture Healing

External (periosteal) vs internal (endosteal) callus; bridging and uniting fragments. Primary (contact) healing has minimal/no callus under rigid stability; secondary healing forms abundant callus under relative stability. Radiographic callus reflects mechanical environment and biology; hypertrophic callus suggests instability. Histology: woven bone → lamellar bone remodeling along stress lines.