MODIFIABLE FACTORS NON-MODIFIABLE FACTORS

 FALLS / ACCIDENTS  AGE (89 YEARS OLD)

 GENDER (FEMALE)
 GENERALIZED
OSTEOPOROSIS

TRAUMA

Stress placed on
the right femoral
neck

Injury in the bone

Disruption in the
continuity of bone

Disruption of muscle and blood vessels

attached to the ends of the bone

Soft tissue damage

Decreased Hgb: 9.1

Decreased Hct: 28.8 Internal bleeding

Decreased RBC: 2.8 Release of cytokines

Formation of Hematoma
Increased monocytes: 9

Intense Inflammatory Response Decreased MCV: 103.6

Vasodilation Pain on right hip

Increased blood flow to the area of injury

Mast cells accumulate

Phagocystosis and removal of dead cell

debris

A fibrin clot (fracture hematoma) forms at the break and

acts as a new network to which new cells can adhere.

Disruption in fracture hematoma due to comminuted bone.

 Fixation or proper bone alignment is
needed to facilitate bone healing

Open Reduction Internal Fixiation

Stress on the opposed of the

broken bones, which accelerated
osteoblastic activity at the break
leading to hastened normal bone
healing.

Osteoblastic activity is
immediately stimulated, both
intraosseous and periosteal from
osteoprogenitor cell

Immature new bone or callous Is

formed

Fibrin clot is soon reabsorbed and

the new bone cells are slowly
remodeled to form true bone.

Decreased pain True bone replaces callous and is

and on the slowly calcified. (Several weeks to
process of few months)
healing.
 NON-MODIFIABLE FACTORS

 AGE (89 YEARS OLD)

 GENDER (FEMALE)
 GENERALIZED
OSTEOPOROSIS

TRAUMA

Stress placed on
the right femoral
neck

Injury in the bone

Disruption in the
continuity of bone

Disruption of muscle
and blood vessels
attached to the ends
of the bone
Soft tissue damage
Release of cytokines

Decreased Hgb: 9.1 Internal bleeding Increased monocytes: 9

Decreased Hct: 28.8 Formation of Hematoma Decreased MCV: 103.6

Decreased RBC: 2.8

Intense Inflammatory Response Pain on right hip

Vasodilation

Increased blood flow to the area of injury

Mast cells accumulate

Phagocystosis and removal of dead cell

debris