What occurs during the maturation-remodeling phase of healing?

During the maturation-remodeling phase of healing, the key event is the realignment and remodeling of collagen fibers. This phase, which can last several weeks to months, follows the inflammatory and proliferative phases of healing. At this stage, the collagen that was laid down during the earlier phases begins to reorganize and realign according to the lines of stress and tension within the tissue. This process helps to improve the tensile strength and functional capacity of the tissue, enhancing its ability to withstand forces during activity.

The remodeling phase is crucial because it determines the final structure and function of the healed tissue. As the collagen fibers realign, they become stronger and more organized, which contributes to the overall integrity of the repaired tissue. The body continuously adapts and optimizes this structure based on the mechanical demands placed on it, which is vital for both recovery and return to activity.