Fracture healing is a specialized form of the reparative process that the m
usculoskeletal system undergoes to restore skeletal integrity. This biologi
c process is a consequence of a complex cascade of biologic events that res
ult in the restoration of bone tissue, allowing for the resumption of muscu
loskeletal function. Several growth-promoting substances have been identifi
ed at the site of skeletal injury and appear to play a physiologic role in
fracture healing. This article reviews the effects of these osteoinductive
growth factors on bone healing as elucidated by both preclinical in vivo fr
acture and diaphyseal defect healing models.