THE HAPPENED IN THE STARTING OPERATION, THE BONE AND THE WOUND

In the operation action then will be carried out incisi, so as to soft network damage under skin and blood vessels that resulted in the occurrence of edema, pain, and the decline in the scope of the movement of the articulating happen. Basically recuperation in the soft network injury had 3 stages that is injury, inflamation, and re-scanned.

1. INJURY

In this stage, soft tissues that was sliced in the process of the operation of causing the wound and the bleeding as well as the death of several networks. To space incisi the bleeding that afterwards will join will happen the agglomeration. After that the body will issue leucocytes to fagositosis the network that died.

2. INFLAMATION

In this stage, was also received signs of the inflammation as the swelling, pain, was felt hot, and reddish, and lost the function. In this stage because of damage in the soft network happening would stimulating the issuing of chemical substances from inside the body that made pain like histamin and bradikinin. The swelling happened because the exudate concentrating was supervised skin. Felt hot and reddish happened because of the vascular change take the form of vasodilatation blood vessels, so as blood often was focused in this wound.

3. REPAIR

In this stage, recuperation happened by replacing the broken network or being lost with the network subtitusi (the network of the replacement). The network subtitusi that replaced the network of the broken origin or was lost was the network of collagen, so as to emerge fibrosis that finally had been concrete as the network of the grater (cicatrix).

In the operation action, the fragment of bones fracture that experienced will be reconnected.

According to Apley (1995), in a physiological manner bones that experienced, the crack had the capacity continued.

The process of the bones connection was divided into 5 phases, that is:

A. HEMATOME PHASE

When the fracture was happened, torn blood vessels and was formed hematome around and inside fracture. Bones to the surface fraktur, that did not get blood supplies will die.

B. PROLIFERATING PHASE

After the fracture was gotten by the reaction of the acute inflammation that was accompanied by the proliferation of the cell was supervised the periosteum and in the channel medulla will be penetrated. These cells were the beginning of osteoblast, that will release the substance interseluler. The cellular network surrounded respectively the fragment that will connect the place fracture. Hematome froze slowly to absorb and the soft new capillary developed into the area.

C. CALLUS FORMATTING PHASE

The cellular network changed to osteoblast and osteoclast. Osteoblast released intercelluler matrics and the polysaccharide that will become calcium salt and settled there so as to the network happen callus. Bones that were composed (woven bone) emerged in callus. Bones that died in cleaned.

D. CONSOLIDATING PHASE

The activity of osteoclast continued, bones yag was composed was replaced by bones lamellar and fracture was joined strongly.

E. REMODELLING PHASE

The fragment of fracture was bridged by a solid bones cuff.

Bones that just have the shape of so as to resemble the normal structure.

© 2008 – 2009, THE DOCTOR NOTES. All Rights Reserved.

Related Notes:

• KOMPETENSI DOKTER LAYANAN PRIMER
• SIMPLE TRIAGE & RAPID TREATMENT