Questions and Answers
What does Type I open fracture indicate?
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?
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What does Type IIIc indicate?
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This classification involves the patient being evaluated ______.
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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.
