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Gustilo open fracture classification
The Gustilo open fracture classification system is the most commonly used classification system for Open fractures. It was created by Ramon Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams.〔Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: Retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453–8〕〔Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: A new classification of type III open fractures. J Trauma. 1984;24:742–6.〕
This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a higher degree of energy involved in the injury, higher soft tissue and bone damage and higher potential for complications. Important to recognize that grade 3C fracture implies vascular injury as well. 〔http://www.orthobullets.com/trauma/1003/gustilo-classification〕
== Classification ==
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