Open Fractures: Mechanisms, Clinical Features and Complications
Gustilo-Anderson Classification:
• Type I
- Wound < 1cm
- Typically "inside out" injury
- Minimal comminution
• Type II
- Wound 1-10 cm
- Possible tissue contamination
- Moderate comminution
• Type Ill
- Wound > 10 cm
- Extensive contamination
- Extensive comminution
• Type IIIA - Adequate soft tissue for bone coverage
• Type IIIC - Vascular injuries, possible amputation
• Type IIIB - ++ soft tissue damage with periosteal stripping
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