Open Fractures Classification Management Teachmesurgery The gustilo anderson classification can be used to classify open fractures. type 1: <1cm wound and clean. type 2: 1 10cm wound and clean. type 3a: >10cm wound and high energy, but with adequate soft tissue coverage. type 3b: >10cm wound and high energy, but with inadequate soft tissue coverage. Infection rates of open fracture depend on zone of injury, periosteal stripping and delay in treatment. incidence of fracture related infection range from <1% in type i open fractures to 30% in type iii fractures. mutlidisciplinary training of open fracture management has been associated with decreased timing to antibiotic administration.
Lec 7 Gustillo Anderson Classification Of Open Fractures Mp4 Type ii. wound 1 10 cm, moderate soft tissue injury. type iiia. wound usually >10 cm, high energy, extensive soft tissue damage, contaminated. adequate tissue for flap coverage. farm injuries are automatically at least gustillo iiia. type iiib. extensive periosteal stripping, wound requires soft tissue coverage (rotational or free flap) type iiic. An ankle fracture* is a fracture of any malleolus (lateral, medial, or posterior), with or without disruption to the syndesmosis. *where the tibial articular surface (the plafond) of joint is involved, this is termed a ‘pilon fracture’ and is considered as a separate injury. figure 1 – the ankle is comprised of the tibia, fibula, and talus. An open fracture is an injury where the fractured bone and or fracture hematoma are exposed to the external environment via a traumatic violation of the soft tissue and skin. the skin wound may lie at a site distant to the fracture and not directly over it. therefore, any fracture that has a concomitant wound should be considered open until proven otherwise.[1][2]. Broadly, there are 3 primary fixation strategies in the management of open fractures: definitive external fixation, which can be uniplanar or multiplanar. temporary external fixation followed by staged internal fixation. definitive internal fixation in a single stage. the decision between these 3 options depends on both injury factors and.
Open Fractures Classification Management Teachmesurgery An open fracture is an injury where the fractured bone and or fracture hematoma are exposed to the external environment via a traumatic violation of the soft tissue and skin. the skin wound may lie at a site distant to the fracture and not directly over it. therefore, any fracture that has a concomitant wound should be considered open until proven otherwise.[1][2]. Broadly, there are 3 primary fixation strategies in the management of open fractures: definitive external fixation, which can be uniplanar or multiplanar. temporary external fixation followed by staged internal fixation. definitive internal fixation in a single stage. the decision between these 3 options depends on both injury factors and. Examples of fracture specific descriptive classifications. garden – guides management surgical plan. neer – assists describing fracture for communication. schatzker – can predict associated injuries and prognosis. lauge hansen – provides insight into mechanism. sanders an example of ct based classification. Indications for operative management include life threatening haemorrhage, unstable fractures, open fractures, and associated fractures with an associated urological injury. the approach and method of stabilisation can be guided by the young and burgess classification * and involves a combination of anterior and posterior stabilisation .
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