Open Fracture

Aka: Open Fracture, Compound Fracture, Gustilo and Anderson Classification

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II. Definitions

  1. Open Fracture (Compound Fracture)
    1. Skin perforated over the Fracture site

III. Types: Gustilo and Anderson Classification (GA)

  1. Type 1: Wound <1 cm (lacerated with bone spike)
  2. Type 2: Wound 1-10 cm (high energy Trauma)
  3. Type 3: Wound >10 cm
    1. Type 3a: No periosteal stripping or loss of soft tissue coverage
    2. Type 3b: Loss of soft tissue coverage (requires skin grafting)
    3. Type 3c: Periosteal stripping with loss of bony perfusion to the affected limb

IV. Complications

  1. Osteomyelitis

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