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Cartilage heals slower than bone because cartilage is avascular. Meaning there is no blood vessels. The lack of blood flow creates a slow healing process.
Bone heals faster than cartilage because cartilage is avascular (no blood flow). This means that the blood flow necessary in injury repair will not get to the cartilage immediately; it will take much longer. Bone, however, does have blood flow because bone marrow produces red blood cells, which are able to repair the damage to the bone.
Cartilage has a very poor blood supply which means that nutrients to aid healing are not readily available and it therefore takes a long time to heal, if indeed it does. Bone on the other hand, has an excellent blood supply which helps remove damaged tissue and debris plus it brings a healthy supply of new cells to support rapid remodelling. A completely healed bone (provided the fracture wasn't complicated) will lead to a structure that is just as strong as it was prior to injury. Although the main building work is done by approximately 8 weeks or so, it will actually take up to two years for full strength to be returned. Proper rehabilitation will ensure that the process is optimised e.g by doing weight bearing exercise as appropriate to strengthen the bone.

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9y ago
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15y ago

Cartilage in joints is avascular - it has no direct blood supply. As such, nutrients must diffuse to it through the synovial fluid (or from the perichondrium in some joints) which is slow and inefficient. The slow passage of necessary materials causes a slow healing rate.

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11y ago

because articular cartilage lacks the perichondrium, a layer surronding the cartilage and responsible for the synthesis of chondroblasts. In the absence of chondroblast, chondrocytes cannot be formed by appositional growth and by interstitial growth, therefore a damaged cartilage cannot be regenerated.

Pierre Akiki, MED 1 balamand university, Lebanon

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12y ago

Cartilage and tendons are both connective tissues with very poor blood supplies and relatively few dividing cells in the mature tissue. Both of these factors contribute to the long, slow healing process. In contrast, bone (also a connective tissue) has a rich blood supply and a large proportion of active dividing cells, so bones heal relatively quickly.

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9y ago

The explanation as to why cartilage heals slowly after an injury is because it contains very few blood vessels, if any at all. Cartilage is a connective tissue.

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Q: Why does cartilage and tendons take so long to heal?
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