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Lower Limb

  • Mary OBrien
Chapter

9.1 Classification of Open Tibial Fractures (GUSTILLO ET AL.)

Gustillo et al. The management of open fractures. JBJS Am 1990;72:299–304

I

Bone: Simple noncomminuted fracture/Soft tissues <1 cm clean puncture

 

II

Bone: Moderately comminuted fracture/Soft tissues >1 cm laceration

 

III

High energy:

 
 

Bone: Comminuted/segmental/bone loss/amputation

 
 

Soft tissues: Extensive damage >10 cm long wound

 
 

Subtype (1984):

 
 

(a) Adequate soft tissue cover

 
 

(b) Periosteal stripping, bone loss and exposure, major contamination

 
 

(c) Soft tissue injury + Arterial injury requiring repair

 

Keywords

Compartment Syndrome British Standard Institute Compression Bandage Open Tibial Fracture Flexor Digitorum Brevis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  • Mary OBrien
    • 1
  1. 1.Consultant Plastic and Hand SurgeonPulvertaft Hand CentreDerbyUK

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