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    Post Open Reduction Internal Fixation Pathophysiology

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    Rizalyn Quindipan

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    © All Rights Reserved
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    Post Open Reduction Internal Fixation Pathophysiology

    Uploaded by

    Rizalyn Quindipan
    466 views3 pages

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    466 views3 pages

    Post Open Reduction Internal Fixation Pathophysiology

    Uploaded by

    Rizalyn Quindipan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    MULTIPLE INJURIES THROUGH OPEN REDUCTION INTERNAL FIXATION PATHOPHYSIOLOGY

    Modifiable factors to younger


    patients: Non-Modifiable factors to younger
    patients:
     High-energy accidents like
    motor vehicular, car  Age:34 years old
    accidents.  Sex: Male
     Direct blow to the proximal
    humerus

    Trauma

    Bone breakage

    Death of bone cells

    Bleeding typically occurs around the site and into the soft tissues surrounding
    the bone. The soft tissues are usually damaged by the injury.

    Intense inflammation reaction

    vasodilation

    Increased blood flow at the site of injury

    Leukocytes and mast cells accumulate

    Phagocytosis and removal of dead cell debris


    A fibrin clot or fracture hematoma forms at the break and acts as a new
    network to which new cells adhere.

    Disruption in fracture hematoma due to displaced and compound bone fracture

    Fixation or proper bone alignment is needed to facilitate bone healing

    Open Reduction Internal Fixation in the left proximal humerus area

    Screws, wires,rods,nails or other fixation apparatuses hold both ends of broken


    bone together

    Stressed on the broken bone which accelerates osteoblastic


    activity at the break leading to hastened healing

    Acute pain related to


    Risk for infection related to Impaired Physical Mobility related to operative procedure as
    traumatized tissue as evidenced by activity intolerance as evidenced by evidenced by verbal
    swollen and red closed incision site decreased in reaction time, decrease reports of pain, guarding
    range of motion and decreased fine behavior and facial
    motor skills grimacing
    NARRATIVE:

    Proximal humerus fractures can be treated with ORIF depending on the risk of blood supply

    disruption and other factors. Factors contributing to having ORIF are accidents causing broken arm injury,

    this is a consequence of a fall with an outstretched hand in an attempt to brace the fall. Younger patients

    often present with these type of injuries following high- energy trauma such as car accidents or motor

    vehicular accident. The fractured bone is classified as displaced compound fracture. It occurs as a trauma

    followed by bone breakage depending on the impact. The patient had high impact accident leading him to

    have a displaced and compound fracture. Because of this, death of bone cells happen resulting to bleeding

    on the site and its soft tissues. Intense inflammation had taken place causing blood vessels to dilate

    leading to increased blood flow in the injury site.Because of this, white blood cells such as mast cells

    accumulates and does phagocytic process.A fibrin clot or fracture hematoma forms at the break and acts

    as a new network to which new cells adhere.

    The disruption of the bone needed to be repaired and realigned through surgical procedure called

    Open Reduction Internal Fixation at the proximal humerus area. They usually use screws,rods,nails and

    plates to moved the bone in the right place and hold broken parts together. This procedure causes Acute

    pain and swelling since there is a cut or incision made by the doctor. In the post operative care, since the

    patient is on bed rest and has difficulty mobilizing, the nursing diagnosis is impaired physical mobility. And

    since there is an open wound, the patient is at risk of acquiring infection.

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