In most of the orthopedic groups I belong to, the majority of posts are of X-rays, before and after metal work. Most of the times, the fixations are commendable, sometimes they are inadequate. The discussion would be all about how to fix it better. Somehow the focus always seemed to be on treating the x-ray rather than the patient.

I felt that we had probably forgotten our basics, and set about writing an article, the first in the series about fracture healing. The article is a little long, but those of you who have the patience to get until the end, will certainly get an idea or two; or at least feel like blasting me and my ideas. Herewith I am submitting to you my theories regarding fracture healing and its relevance; independent of established factors like age, site, type, communition, communication to the exterior and infection. Fracture healing has a lot to do with micro motion.…