WOUND STAGES  COLLAGEN'S ROLE 
INJURY 
1.  HEMOSTASIS 
Blood platelets stick to exposed collagen and to each other, plugging broken blood vessels. 
Helps in the formation of a plug to stop the bleeding. 
2.  REACTION 
Phase characterized by inflammation and decreased blood flow to the wound. White blood cells move in to fight infection. 
Absorbs fluid to clean wound and remove bacteria. Provides environment for macrophages. 
3. REGENERATION 
Body begins repairing itself by generating granulation tissue. The epidermis is restored. The wound closes. 
Attracts cells to wound site. Provides optimal environment for cell growth and vascularization 
a.  Granulation. Cells migrate into wound, forming a matrix to fill the tissue void (RED).  Attracts cells to wound site and promotes granulation. 
b.  Epithelialization. Once a healthy granulation bed is established, a 2- to 3- layer epidermis forms over the surface.  Provides bridge for epithelial cells. Integral in angiogenisis. 
c.  Contracture. Tissue can now withstand normal stresses (PINK).  Accelerates tissue reconstruction. Reduces scarring. 
4.  REMODELING 
Final stage of wound healing. Most of original tissue strength is regained. 
Increases and consolidates fibers to strengthen the integrity of the tissue. 
HEALED 
WOUND 
 

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