Open Fracture Classification
#1
ICD-10 asks for a classification of open fractures from 1-3.  Gustilo open fracture classification focuses on the extent of soft tissue injury and degree of contamination.

I -- Open fracture, clean wound, wound <1 cm in length
II -- Open fracture, wound > 1 cm but < 10 cm in length without extensive soft-tissue damage, flaps, avulsions
III -- Open fracture with extensive soft-tissue laceration (>10 cm), damage, or loss or an open segmental fracture. This type also includes open fractures caused by farm injuries, fractures requiring vascular repair, or fractures that have been open for 8 hr prior to treatment

IIIA --Type III fracture with adequate periosteal coverage of the fracture bone despite the extensive soft-tissue laceration or damage
IIIB -- Type III fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Usually associated with massive contamination. Will often need further soft-tissue coverage procedure (i.e. free or rotational flap)
IIIC -- Type III fracture associated with an arterial injury requiring repair, irrespective of degree of soft-tissue injury.
"They that are whole have no need of the physician, but they that are sick" -  Jesus of Nazareth
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#2
An open fracture can be specified as a broken bone that is in communication through the skin with the environment. Thanks for sharing this classification.
Reply Purge Spammer


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