How is clinical healing of fractures determined?

  The following five points are usually used as criteria for clinical healing of the fracture: (a) No local pressure pain and axial percussion pain.  (ii) No local paradoxical activity.  (iii) The X-ray shows a blurred fracture line with continuous bone crust through the fracture line.  (The upper extremity can lift 1 KG of weight forward for one minute, and the lower extremity can walk continuously for three minutes, not less than 30 steps, without supporting the crutches.  (e) No deformation at the fracture site for 2 weeks of continuous observation.