Gustilo open
fracture Classification
Gustilo Grade
Definition
I Open
fracture, clean wound, wound <1 cm in length
II Open
fracture, wound > 1 cm but < 10 cm in length[4] without extensive
soft-tissue damage, flaps, avulsions
III Open
fracture with extensive soft-tissue laceration (>10 cm[4]), damage, or loss
or an open segmental fracture. This type also includes open fractures caused
by farm injuries, fractures requiring vascular repair, or fractures that
have been open for 8 hr prior to treatment
IIIA Type
III fracture with adequate periosteal coverage of the fracture bone despite
the extensive soft-tissue laceration or damage
IIIB Type
III fracture with extensive soft-tissue loss and periosteal stripping and
bone damage. Usually associated with massive contamination. Will often need
further soft-tissue coverage procedure (i.e. free or rotational flap)
IIIC Type III
fracture associated with an arterial injury requiring repair, irrespective
of degree of soft-tissue injury.
