Healing is a monitored process, not a supplement shortcut
New bone changes through several phases. The team follows the trend on serial images together with alignment, implant stability, symptoms and function.
Phase 1
Osteotomy and latency
The biologic response begins after the bone is divided. The waiting interval is prescribed.
Phase 2
Distraction
Gradual separation creates a regenerate zone. Rate and rhythm may change with clinical findings.
Phase 3
Consolidation
The regenerate mineralizes and develops more visible cortex. Calendar time alone does not prove readiness.
Phase 4
Remodeling
Bone structure continues to adapt after union. Activity and hardware decisions need separate clearance.
Core clinical support
Protect the conditions for healing
Keep serial imaging and clinical reviews.
Follow the exact distraction and loading plan.
Avoid smoking and disclose nicotine exposure.
Assess and treat documented health or nutritional problems.
Limited or mixed evidence
Ask what problem an adjunct is solving
Ultrasound or electrical bone stimulators.
PRP, marrow concentrate or other injections.
Prescription drugs used outside a standard indication.
High-dose supplement bundles without a documented deficiency.
Do not self-direct
More is not automatically better
Extra distraction sessions or a faster rate.
Loading beyond the device-specific limit.
Stopping prescribed medicines or starting hormones or peptides.
Waiting through worsening pain, deformity, wound or device changes.
Educational reference only. Not medical advice. This diagram does not prescribe nutrition, supplements, loading, distraction or treatment for delayed union.