Gustilo Classification of Open Fractures: Ch.13 Flashcards

Questions and Answers

What does Gustilo classification I indicate?

Wound less than 1 cm with minimal soft tissue injury and clean wound bed (correct)

Wound greater than 1 cm with moderate soft tissue damage

Fractures involving extensive damage to the soft tissues

Fracture with major arterial injury requiring repair

What characterizes Gustilo classification II?

Wound greater than 1 cm with moderate soft tissue damage (correct)

Wound less than 1 cm with minimal injury

Extensive soft tissue loss with bony exposure

Fracture with major arterial injury

What does Gustilo classification III indicate?

Extensive damage to soft tissues including muscle and skin (correct)

Moderate soft tissue damage

A simple transverse fracture

Minimal soft tissue injury

Gustilo classification IIIA indicates that there is major arterial injury requiring repair for limb salvage.

False Signup and view all the answers

What is characteristic of Gustilo classification IIIB?

Extensive soft tissue loss and bony exposure Signup and view all the answers

What does Gustilo classification IIIC signify?

Major arterial injury requiring repair Signup and view all the answers

What are the characteristics of Gustilo classification III?

Fractures with extensive damage to soft tissues including muscle, skin, and neurovascular structures, often from high velocity or severe crushing injuries. Signup and view all the answers

Study Notes

Gustilo Classification of Open Fractures

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
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
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
Type IIIA (Subtype):
- Characteristics: adequate soft tissue coverage despite laceration, regardless of wound size
- Fracture types: can include segmental or severely comminuted fractures
Type IIIB (Subtype):
- Characteristics: extensive soft tissue loss with bony exposure
- Complications: usually associated with massive contamination
Type IIIC (Subtype):
- Characteristics: major arterial injury present
- Requirement: arterial repair necessary for limb salvage

Description

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.