Orthopedic Center with Orthopedist and Arthroplasty Services


Appropriate treatment is essential

After a fracture, the best recovery relies on appropriate and good care. When professional intervention don’t reap the intended results, the consolidation process may experience problems, such as the delay in consolidation.

Factors and habits

In addition, there are factors in our health and habits that can contribute to a delay in consolidation. Conversely, good habits and health may lead to better and faster recovery.

In this section, we’re discussing how consolidation delay occurs, what it’s about, what factors may cause it, and what measures must be taken to treat a complex fracture like this.


What is it?

If you experience a delay in the bone bonding process after a fracture, it’s referred to as a delay in the consolidation or non-union of bone fragments. In such cases, you may have difficulty flexing the injured area and could feel pain, weakness, and edema in the fracture region.

Combatting confusion

There is considerable confusion between pseudarthrosis and delayed consolidation. To clarify, the former refers to an absence of bonding, while the latter only to the delay in consolidation.

How does it occur?

When bone fracturing occurs, there are two ways bone callus consolidation occurs. This means the fragments may stick together again in the following ways: either through a natural process or by primary consolidation.

The natural process refers to the way the body forms bone callus to recover from a fracture. As soon as the rupture occurs, there is bleeding in the region that undergoes transformation over time to form calcium cartilage. This leads to the formation of the bone callus responsible for bonding the fragments.

Primary consolidation

Traditionally, primary healing is the medical interventional process for healing the fracture. It involves compressing the fragments against each other—where possible—to aid the healing process.

Bone callus—how is it formed?

The formation of the bone callus is divided into 3 stages:

  • the inflammatory,
  • the repair
  • the bone remodeling.

Patients suffering from bone fractures will go through these three stages. During the first phase, the organization of the fracture hematoma occurs. In the first 48 hours, you’ll experience bleeding from the vessels that were ruptured due to the trauma. A week after that, the inflammatory phase of bone callus formation will end.

In the repair phase—which lasts about 2-3 weeks—there will be soft bone callus formation. These are composed of fibrocartilaginous tissue. The remodeling phase forms the patient’s trabecular bone.


Although recovery may usually take between several weeks to five months, it depends on the bone that was fractured.  Your age, health factors, and medical history also impact the healing process.

Most people experience a full recovery after around three months. If, however, the fracture takes longer than normal to consolidate, you may be experiencing delayed consolidation.


After about five x-rays, your doctor may notice that the fragments are not consolidating in any way. In such cases, it’s clear that you’re not experiencing a delay in consolidation, but a case of pseudarthrosis. Both conditions require different kinds of care and treatments. Hence, continued care and medical advice are necessary.

Contributing factors

One of the main factors that cause a delay in consolidation is inadequate medical intervention. When people leave their fractures untreated and don’t seek medical assistance, they may not realize what condition they’re experiencing. That’s why working with competent medical professionals is essential for your health and wellbeing.

Another common cause is the delay in diagnosis, especially when you don’t visit a specialist after sustaining the fracture.

Other factors

However, there are other factors—especially regarding your health—that can contribute to a delay in bone recovery. These may include poor blood circulation, smoking, fracture instability, diabetes, old age, osteoporosis, vitamin deficiency, syphilis, and various others.

In the event of a fracture, good nutrition can play a vital role in quicker recovery. Consuming milk and proteins—such as meat, eggs, and fish—are healthy lifestyle choices that’ll lead to better health and encouraging healing.



This is an innovative, new therapy—called extracorporeal—to treat consolidation delay. Utilizing shockwaves to encourage healing and growth, it relies on cutting edge technology to improve your bone reformation. We recommend between one and three sessions, with intervals that allow for evaluation in between.

In this treatment, high density is suitable energy to treat the pathology. During this procedure, there may be a range of thirty-five thousand to forty thousand shock waves in each session.

Bone graft

This is a more common intervention for treating bone consolidation delay. Bone graft involves removing and replacing a bone fragment from another part of the body as an alternative to the fracture. The iliac crests are most commonly used for this and are glued to the fracture site that was not healing as it should.

Experiencing discomfort?

These procedures may cause some minor discomfort, as is the case with most surgeries. In the case of bone grafting, the grafted part may undergo paresthesia meralgia—a kind of numbness and lack of sensitivity.

However, the discomfort will subside eventually and you will be able to regain functionality.

Potential damage from non-treatment

The damage from non-treatment may aggravate and exacerbate the painful symptoms. If you’re experiencing delayed consolidation or pseudarthrosis, consult an experienced hip specialist. We’re equipped with leading technologies, knowledge, professional training, and years of experience that make us the ideal choice for diagnoses and treatments.

Schedule an appointment with us by contacting our team today!


Nossa Estrutura

Unidade Higienópolis

Sala de espera com amplo espaço e conforto para a família que espera por uma consulta de ortopedia geral ou ortopedia infantil.

celular   +55 (11) 99452-6862
celular +55 (11) 99949-4566

Unidade Higienópolis
A clínica Artroplastias do ortopedista em São Paulo, Dr. Felipe possui sala para acolher o paciente e família.

   +55 (11) 99452-6862
celular +55 (11) 99949-4566

Unidade Higienópolis

Sala para um exame ortopédico completo, cujo objetivo é o diagnóstico preciso. A indicação de uma artroplastia de quadril se baseia no estudo clínico e radiográfico cuidadoso do paciente.

  +55 (11) 99452-6862
celular +55 (11) 99949-4566

Estamos online!