Questions and Answers
What does Gustilo classification I indicate?
What characterizes Gustilo classification II?
What does Gustilo classification III indicate?
Gustilo classification IIIA indicates that there is major arterial injury requiring repair for limb salvage.
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What is characteristic of Gustilo classification IIIB?
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What does Gustilo classification IIIC signify?
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What are the characteristics of Gustilo classification III?
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Study Notes
Gustilo Classification of Open Fractures
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Type I:
- Wound size: less than 1 cm
- Characteristics: minimal soft tissue injury and clean wound bed
- Fracture type: typically simple transverse or short oblique with minimal comminution
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Type II:
- Wound size: greater than 1 cm
- Characteristics: moderate soft tissue damage, without flaps or avulsions
- Fracture type: usually simple transverse or short oblique, minimal comminution
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Type III:
- Characteristics: extensive damage to soft tissues, including muscle, skin, and neurovascular structures
- Associated injury: often results from high-velocity impacts or severe crushing forces
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Type IIIA (Subtype):
- Characteristics: adequate soft tissue coverage despite laceration, regardless of wound size
- Fracture types: can include segmental or severely comminuted fractures
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Type IIIB (Subtype):
- Characteristics: extensive soft tissue loss with bony exposure
- Complications: usually associated with massive contamination
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Type IIIC (Subtype):
- Characteristics: major arterial injury present
- Requirement: arterial repair necessary for limb salvage
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Test your knowledge of the Gustilo classification system for open fractures with these flashcards. Each card provides definitions and details of the classifications from the chapter. Perfect for medical students or professionals seeking to reinforce their understanding of fracture types.