Lower Limb

  • Mary OBrien

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

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


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



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



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



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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