UCSD Musculoskeletal Radiology


MSK Classifications




Gustilo open fracture Classification
Gustilo Grade
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.