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Wheeless' Textbook of Orthopaedics
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Bone Remodeling



- See: Essentials in Osteodynamics"

- Discussion:
    - bone remodeling functions reshaping or replacement of of bone during
            growth and following injury;
            - in the first year of life, almost 100% of the skeleton is replaced;
            - in adults, remodeling procedes at about 10% per year;
    - bone responds to functional demands and muscle attachments;
    - w/ remodeling, bone will be added where needed and removed where it
          is not required;
    - bone remodeling begins w/ bone resorption, followed by subsequent
            by bone formation;
            - remodeling process occurs w/ a specific sequence of events termed the
                  Bone multicellular unit (BMU);
    - sequence of events;
            - remodeling may begin w/ parathyroid hormone induced resorption;
            - osteoclastics resorb bone removing both organic and inorganic
                  components are removed;
            - subsequently, new bone by osteoblasts, replacing bone that was resorbed;

- Wolfe's Law:              
    - described by Julius Wolff in 1868.
    - law holds that every change in the form or function of a bone is followed by
          adaptive changes in its internal architecture and its external shape;






Original Text by Clifford R. Wheeless, III, MD.