Greenstick fracture: Healing Mechanisms, and Recommendation for Advanced Electrical-Mechanical Treatments Using Finite Element Analysis.

Hassan, Mohamed; Yossef, Enas Fawzy; Mohamed, Ahmed Rizk; El-Dhaba, Amr Ramdan; Abd Allah, Dina Sayed

doi:10.21608/dijms.2025.366602.1009

Greenstick fracture: Healing Mechanisms, and Recommendation for Advanced Electrical-Mechanical Treatments Using Finite Element Analysis.

Document Type : Review Article

Authors

¹ Researcher in Computational Biomechanics, Huddersfield University, UK

² Professor and Chairperson in Department of Physical Therapy For Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University.

³ Assistant professor faculty of medicine, Cairo University

⁴ Department of Mathematics and Statistics, College of Science, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi Arabia

⁵ Lecturer in Department of Physical Therapy, For Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University.

10.21608/dijms.2025.366602.1009

Abstract

This literature review explores the healing process of greenstick fractures and advanced therapeutic interventions to enhance recovery. Due to their partial bone disruption, greenstick fractures provide a unique opportunity for targeted treatments, such as mechanical and electrical stimulation. The use of a detachable brace or plaster backslab allows physiotherapy interventions, including targeted exercises and electrotherapy, without compromising immobilization or bone alignment. These approaches promote bone remodeling while maintaining structural stability.
Furthermore, this review highlights the role of Finite Element Analysis (FEA) in optimizing mechanical and electrical stimulation for improved healing outcomes. FEA helps refine intervention strategies by assessing stress distribution and mechanical responses under various therapeutic conditions, allowing for the optimization of treatment parameters to enhance fracture healing and recovery. Integrating immobilization with active rehabilitation promotes functional recovery while ensuring a practical, patient-centered approach. By combining these strategies, this review emphasizes the potential of innovative rehabilitation techniques to enhance healing efficiency.

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