A.

Pathway

Thrauma(collision) Pressure (weariness) Patologi (tumor, osteoporosis)

(benturan)

Closed Fracture Open

Inflammation reaction
Inflammation reaction Damage of soft Discontinuity of
Vasodilatation of tissue tissue
blood vessel
Discontinuity of
Muscle spasm bone Break of Port de entry
Increasing of plasma and blood vessel microorganism
leucocyte Shortness of bone

Invasion of
Deformity Hemorrhage
Hematoma Pain microorganism

Bone
Dilatation of Increasing of bone dysfunction High risk for
muscle capillary marrow High risk for
Change of ability deficiency fluid infection
of motion volume
Liberation of fat
Increasing of muscle Hypovolemic
acid
capillary pressure shock
Damage of
Enter to blood physical Damage of
Stimulate the histamin
circulation mobility skin
in muscle that ischemic
integrity
Emboli enter to small
blood vessel
Increasing blood vessel
permeability
Periphery perfusion Failure of blood
dysfunction supply
Plasma protein lost
from extravascular
Ischemia
High risk of
edema neurovascular
disfunction
Necroses
Press tip of nerve in
injure area
Risk death of tissue
Lack of information
Compartment
syndrome

Tissue circulation Lack of knowledge

disturbance in distal
area

(Lutfi, 2007; Smeltzer, 2000: 360)