Compound Fracture Grades

They are usually seen in cases of multiple injuries or direct trauma.

Compound fracture grades. How grading is useful the gustilo anderson classification system is most useful to give two pieces of information. Obq12 156 a 36 year old male sustains an open segmental tibia fracture associated with an overlying 8 cm soft tissue avulsion that requires skin grafting for soft tissue coverage. The tibia is the most common site of post surgical osteomyelitis following surgical treatment of open fractures. Simple or complex fracture with 10mm wound size.

Simple fracture with a puncture wound around 5 10 mm in size. A grade i fracture is a simple fracture that has an overlying puncture wound of about 5 10mm. No vascular injury is identified. Progression from grade 1 to.

What is the likelihood of developing an infection and how long will fracture healing take to occur. The gustilo anderson classification also known as the gustilo classification is the most widely accepted classification system of open or compound fractures. In case of grade i type of compound fracture the wound size is around 1 cm or smaller. Fracture related infection ranges from 1 in grade i open fractures to 30 in grade iii fractures.

What is the most appropriate gustilo anderson classification of this injury. Depending on their severity compound fractures are graded into 5 types based on the gustillo and anderson classification. The typical features for this kind of fracture are. This system uses the amount of energy the extent of soft tissue injury and the extent of contamination for determination of fracture severity.

Low grade compound fracture can be managed non operatively after irrigation and debridement. For example if a tibia fracture is a closed injury it may take an average of 3 months for healing where is an open fracture may take 4 6 weeks longer even if the fracture pattern is similar. The gustilo open fracture classification system is the most commonly used classification system for open fractures it was created by ramón gustilo and anderson and then further expanded by gustilo mendoza and williams. The grading system is used to guide management of compound fractures with higher grade injuries associated with higher risk of complications.

There is higher risk of radial nerve palsy. Grade 2 fractures can be simple or complex fractures that are accompanied by overlying wounds of more than 10mm. Compound fractures are usually classified into the following five grades depending on their severity. As the severity of the open fracture increases the likelihood of complications and the length of time for healing also increases proportionally.

Ranges between 1 8 to 27 depending on the bone involved and grade fracture type.