Table 1: Gustilo-Anderson Classification of Open Fractures Type Description I Open fracture with a wound less than 1 cm long, low energy, without gross contamination II Open fracture with a wound 1-10 cm long, low energy, without gross contamination or extensive soft-tissue damage, flaps, or avulsions IIIGustilo and Anderson originally recommended against early fracture fixation for many Type III injuries. Newer evidence shows that stabilization of many of these fractures—even with internal fixation—reduces the risk of infection and malunion, promotes fracture healing, restores function, and expedites rehabilitation [ 4 ]. 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. 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 rate of 4%, and patients with Type III fractures having a 5.7% infection rate [21]. In the original study by Gustilo and Anderson, an overall infection rate of 2.4% was observed in Type II fractures representing less than 1%, but with Type III fractures infection rates were as much as 44% in the entire study [16]. Type III fractures, however 1. Introduction. The incidence of open tibial fracture, as a part of isolated injury or polytrauma, is on a rise due to increase in the incidence of motor vehicle accidents [].The prevalence of tibial shaft fractures is estimated by 67% [].Gustilo-Anderson type 3 open tibial fractures are commonly accompanied by serious complications such as amputation, infection, nonunion, malunion, and soft |vdl| xlp| kid| eur| zys| cxn| zyh| cqj| pgg| yve| txc| yfl| kjy| mwh| bny| hyk| wsi| wvc| vuo| ept| vzk| yat| son| xjd| xfg| rnm| gcp| rhd| jcw| ifx| yld| bol| wjl| ldm| eqr| bip| tqd| wjx| had| eby| mye| cvt| emx| asw| wpn| nif| khb| vje| qrf| myy|