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Gustilo And Anderson Open Fractures Classification

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Gustilo And Anderson Open Fractures Classification

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Questions and Answers

What does Type I open fracture indicate?

Clean skin opening of 1 cm long (correct)

Vascular injury requiring repair

Extensive soft tissue injury with bone exposure

Extensive soft tissue laceration with adequate bone coverage

What is a Type III open fracture?

Usually >10cm long with extensive soft tissue damage.

What does Type IIIa signify in the Gustilo and Anderson classification?

Extensive soft tissue laceration with adequate bone coverage.

What is a characteristic of Type IIIb fractures?

Extensive soft tissue injury with periosteal stripping and bone exposure. Signup and view all the answers

What does Type IIIc indicate?

Vascular injury requiring repair. Signup and view all the answers

This classification involves the patient being evaluated ______.

intraoperatively Signup and view all the answers

Study Notes

Gustilo And Anderson Classification of Open Fractures

Type I involves a clean skin opening less than 1 cm, minimal comminution, and simple fractures.
Type III consists of wounds larger than 10 cm with extensive damage to soft tissues, including muscles, skin, and neurovascular structures.

Type III Subcategories

Type IIIa features extensive soft tissue laceration but with enough coverage over the bone; may include segmental fractures or gunshot injuries with minimal damage to periosteum.
Type IIIb presents extensive soft tissue injuries, significant periosteal stripping, and exposure of bone, often necessitating a soft tissue flap closure due to massive contamination.
Type IIIc indicates a vascular injury that requires surgical repair.

Evaluation Context

The classification is determined intraoperatively, post-debridement, reflecting the severity of the fracture and soft tissue injury.

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Description

This quiz provides flashcards on the Gustilo and Anderson classification system for open fractures. It covers all types from Type I to Type III, detailing the definitions and characteristics of each type. Perfect for medical students and professionals to enhance their understanding of fracture classifications.