What is a Gustilo Anderson fracture?
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The Gustilo Anderson classification, also known as the Gustilo classification, is the most widely accepted classification system of open (or compound) fractures. The grading system is used to guide management of compound fractures, with higher grade injuries associated with higher risk of complications.
What type of fracture is classified by the Gustilo system?
Gustilo Classification | ||
---|---|---|
I | II | |
Soft tissue damage | Minimal | Moderate |
Contamination | Clean | Moderate |
Fracture Comminution | Minimal | Moderate |
What is 3B injury?
Introduction. The treatment of Gustilo-Anderson Type 3B open tibial fractures is challenging for orthopedic surgeons and is associated with various difficulties. These injuries involve severe soft tissue damage and complex fractures and are associated with complications.

What is open fracture type IIIA IIIB or IIIC?
Severe type III open fractures were subtyped according to the differences in prognosis for sepsis, amputation, and treatment: IIIA (adequate soft-tissue coverage of bone with extensive soft-tissue laceration or flaps), IIIB (extensive soft-tissue loss with periosteal stripping and bone exposure), and IIIC (arterial …
How do you classify an open fracture?
Classification of Open Fractures

- Type 1: <1cm wound and clean.
- Type 2: 1-10cm wound and clean.
- Type 3A: >10cm wound and high-energy, but with adequate soft tissue coverage.
- Type 3B: >10cm wound and high-energy, but with inadequate soft tissue coverage.
- Type 3C: All injuries with vascular injury.
When do you use Gustilo classification?
What is open fracture example?
Most open fractures are caused by some type of high-energy event—such as a gunshot or motor vehicle accident. These patients will often have additional injuries to other parts of the body. An open fracture can also result from a lower-energy incident, such as a simple fall at home or an injury playing sports.
What is open fracture?
Open fractures are breaks in a bone complicated by a wound or wounds. They are usually caused by vehicle accidents. People with open fractures usually have some treatment from ambulance staff at the scene of the accident.
What is open fracture type I or II?
They categorized open injuries into the familiar three categories, based on wound size, level of contamination, and osseous injury, as follows: Type I = an open fracture with a wound less than 1 cm long and clean; Type II = an open fracture with a laceration greater than 1 cm long without extensive soft tissue damage.
What do you do for an open fracture?
If it is an open fracture, cover the wound with a sterile dressing or a clean non-fluffy cloth. Apply pressure around the wound and not over the protruding bone, to control any bleeding. Then secure the dressing with a bandage. Advise the casualty to keep still while you support the injured part to stop it from moving.