What is the primary concern with comminuted fractures during healing?

The primary concern with comminuted fractures during healing is indeed the difficulty associated with displaced bone fragments. Comminuted fractures involve the bone being shattered into multiple pieces, which can create significant challenges in aligning the fragments properly for healing. This misalignment can lead to improper bone healing or non-union, where the fragments do not heal together effectively.

In addition, the presence of multiple fragments complicates the stabilization of the fractured area, as precise anatomical alignment is crucial for the optimal restoration of function. Surgical intervention often becomes necessary to realign and fixate the fragments to ensure they heal in the correct position.

While the other issues, such as the potential for misalignment of bone, high risk of infection, and excessive scar tissue formation, are important considerations in fracture management, they are secondary concerns stemming from the complexities introduced by the displaced bone fragments typical of comminuted fractures. Therefore, the emphasis on difficulties due to those displacements underscores the significance of precise management during the healing process.