Inflammatory process

The release of vasodilatadoras substances keeps in the focus of breaking a hiperemia with histolgico character of aseptic inflammatory process. With the organization of the interfragmentrio hematoma, they appear vascular conjunctive sprouts that come of deep layers of the periteo and ssea marrow e, in lesser ratio, of the conduits of Havers, these form weaveeed of granulation that finish for joining in continuous way the sseos fragmentos. Osteognese repairman depends on the influence of abnormal mechanical factors on the focus, the process of formation of the callus it will pass for a endocondral phase. The trauma according to Fields et al. (2007), it can be accidental, act of violence or auto-imposed, being a force injury happened, reaching some systems, being necessary immediate intervention to prevent the loss of the reached member, maintenance of the homostasis of the organism and to keep the life of the individual that suffered the trauma. The decurrent traumas of fall according to Ribeiro et al. (2008), they lead to the necessity of a medical attendance in 48,6% of the cases, and of these, 58% had appealed to a hospital of traumatology, 16.7% used the health rank, but majority 77.8% still more used of a service of ready aid or emergency in evidencing the necessity of preparation in the initial boarding of this patient.

Muniz et al. (2007), they explain that the breakings of fmur are bigger in the feminine sex in result of a lesser amount of corporal mass and motor force, beyond the exposition the domestic activities and a diminished ssea density more compared with the ones of the masculine sex. Related index of Mortality indices of mortality, Sakaki et al. (2004), in its study it got as resulted, that during internment 5.5% of the patients taken care of with breaking of fmur they had been the death, with one month after the breaking this tax is of 4,7%, with three months after 11.9%; with six months after 10.8%; with one year of 19,2%; of 24,9% with two years, and the factors with bigger frequency that had been correlated positively with mortality had been the advanced age, illnesses associates, important cognitiva deficiency and masculine sex.