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Question

What is the correct order of the normal phases of wound healing?

The correct answer is

Haemostatic phase → Inflammatory phase → Proliferative phase → Remodelling phase

Understanding Wound Healing Phases Order

Wound healing is a complex process involving several overlapping stages. The normal sequence ensures effective tissue repair.

Normal Wound Healing Phases Sequence

The correct chronological order of the normal phases of wound healing is:

  1. Haemostatic phase: This initial phase begins immediately after injury. It involves blood vessel constriction followed by platelet aggregation to form a clot, stopping bleeding and providing a provisional matrix.
  2. Inflammatory phase: Following haemostasis, this phase involves vasodilation and increased capillary permeability. Neutrophils and later macrophages migrate to the wound site to clear debris, bacteria, and damaged tissue.
  3. Proliferative phase: This phase is characterized by angiogenesis (new blood vessel formation), fibroblast proliferation, collagen deposition, and granulation tissue formation. Epithelialization also occurs, closing the surface wound.
  4. Remodelling phase: Also known as the maturation phase, this is the longest phase. It involves collagen remodeling, cross-linking, and reorganization to increase the tensile strength of the healed tissue. The scar becomes less prominent over time.

Therefore, the correct order is Haemostatic phase → Inflammatory phase → Proliferative phase → Remodelling phase.

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Important Questions from Healing Process

  1. Which of the following are correct for managing hypertrophic scars? 

    1. Silicone gel sheeting 

    2. Intralesional steroid injections 

    3. Vitamin A gel applications 

    4. Laser treatment 

    Select the answer using the code given below.

  2. The maximum tensile strength that a wound can reach after healing is complete, in comparison to normal skin, is
  3. In a fracture of shaft of longbone, the component which contributes least in fracture healing is:
  4. A 20 year old female was operated for perforation peritonitis and after closing the rectus sheet her abdominal wound was left open to heal with proliferative granulation tissue which contracted and epithelized to form a scar. This patient had undergone healing by:
  5. In a sutured surgical wound, the process of epithelialization is completed within:
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