Gustillo and Anderson’s Classification of Open Fractures

in this article we will discuss the Gustillo and Anderson’s Classification of Open Fractures. So let’s get started.

Gustillo and Anderson’s Classification

Type I: Wound is less than 1 cm in size. It is usually due to low velocity trauma.

Type II: Wound is more than 1 cm and less than 10 cm but there is no devitalization of soft tissue and is associated with very little contamination. These are due to high energy trauma.

Type III: Wounds moderate and severe in size (>10 cm) and the soft tissue are devitalized and contaminated.

Type IIIA: Extensive soft tissue injury but with adequate soft tissue to cover the fracture bone.

Type IIIB: Extensive soft tissue damage and loss. Bone cannot be covered and is exposed to the atmosphere.

Type IIIC: Compound fractures with arterial injuries.

No classification invites so much of debate as for open fractures with only 60% of the surgeons across the globe accepting it. Hence, newer modifications are now being suggested like:

1. The modified Gustillo Anderson’s classification

2. The Trafton classification (this combines the Gustillo Anderson’s and the Tscherne classification)

3. AO classification of soft tissue injury with alphanumeric classification of fractures


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