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Gustilo-Anderson Classification

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Clinical Orthopaedics and Related Research®

An Erratum to this article was published on 06 October 2012

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References

  1. Aro HT, Govender S, Patel AD, Hernigou P, Perera de Gregorio A, Popescu GI, Golden JD, Christensen J, Valentin A. Recombinant human bone morphogenetic protein-2: a randomized trial in open tibial fractures treated with reamed nail fixation. J Bone Joint Surg Am. 2011;93:801–808.

    Article  PubMed  Google Scholar 

  2. Bergner M, Bobbitt RA, Pollard WE, Martin DP, Gilson BS. The sickness impact profile: validation of health status measure. Med Care. 1976;14:57–67.

    Article  PubMed  CAS  Google Scholar 

  3. Bhandari M, Guyatt GH, Swiontkowski MF, Schemitsch EH. Treatment of open fractures of the shaft of the tibia. J Bone Joint Surg Br. 2001;83:62–68.

    Article  PubMed  CAS  Google Scholar 

  4. Bowen TR, Widmaier JC. Host classification predicts infection after open fracture. Clin Orthop Relat Res. 2005;433:205–211.

    Article  PubMed  Google Scholar 

  5. Brumback RJ, Jones AL. Interobserver agreement in the classification of open fractures of the tibia: the results of a survey of two hundred and forty-five orthopaedic surgeons. J Bone Joint Surg Am. 1994;76:1162–1166.

    PubMed  CAS  Google Scholar 

  6. Caudle RJ, Stern PJ. Severe open fractures of the tibia. J Bone Joint Surg Am. 1987;69:801–807.

    PubMed  CAS  Google Scholar 

  7. Chapman MW, Gordon JE, Zissimos AG. Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna. J Bone Joint Surg Am. 1989;71:159–169.

    PubMed  CAS  Google Scholar 

  8. Choudry U, Moran S, Karacor Z. Soft-tissue coverage and outcome of Gustilo grade IIIB midshaft tibia fractures: a 15 year experience. Plast Reconstr Surg. 2008;122:479–485.

    Article  PubMed  CAS  Google Scholar 

  9. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37–46.

    Article  Google Scholar 

  10. Court Brown CM, Rimmer S, Prakash U, McQueen MM. The epidemiology of open long-bone fractures. Injury. 1998;29:529–534.

    Article  PubMed  CAS  Google Scholar 

  11. Dellinger DP, Caplan ES, Weaver LD, Wertz MJ, Droppert BM, Hoyt N, Brumback R, Burgess A, Poka A, Benirschke SK, et al. Duration of preventive antibiotic administration for open extremity fractures. Arch Surg. 1988;123:333–339.

    Article  PubMed  CAS  Google Scholar 

  12. Georgiadis GM, Behrens FF, Joyce MJ, Earle AS, Simmons AL. Open tibial fractures with severe soft-tissue loss: limb salvage compared with below-the-knee amputation. J Bone Joint Surg Am. 1993;75:1431–1441.

    PubMed  CAS  Google Scholar 

  13. Giannoudis PV, Papakostidis C, Roberts C. A review of the management of open fractures of the tibia and femur. J Bone Joint Surg Br. 2006;88:281–289.

    Article  PubMed  CAS  Google Scholar 

  14. Gosselin RA, Roberts I, Gillespie WJ. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2004:(1)CD003764.

  15. Govender S, Csimma C, Genant HK, Valentin-Opran A, Amit Y, Arbel R, Aro H, Atar D, Bishay M, Borner MG, Chiron P, Choong P, Cinats J, Courtenay B, Feibel R, Geulette B, Gravel C, Hass N, Raschke M, Hammacher E, van der Velde D, Hardy P, Holt M, Josten C, Ketterl RL, Lindeque B, Lob G, Mathevon H, McCoy G, Marsh D, Miller R, Munting E, Oevre S, Nordsletten L, Patel A, Pohl A, Rennie W, Reynders R, Rommens PM, Rondia J, Rossouw WC, Daneel PJ, Ruff S, Ruter A, Santavirta S, Schildhauer TA, Gekle C, Schnettler R, Segal D, Seiler H, Snowdowne RB, Stapert J, Taglang G, Verdonk R, Vogels L, Weckbach A, Wentzensen A, Wisniewski T; BMP-2 Evaluation in Surgery for Tibial Trauma (BESST) Study Group. Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients. J Bone Joint Surg Am. 2002;84:2123–2134.

    Google Scholar 

  16. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453–458.

    PubMed  CAS  Google Scholar 

  17. Gustilo RB, Mendoza RM, Williams DN. Problems in management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984;24:742–746.

    Article  PubMed  CAS  Google Scholar 

  18. Hansen ST Jr. The type-IIIC tibial fracture: salvage or amputation. J Bone Joint Surg Am. 1987;69:799–800.

    PubMed  Google Scholar 

  19. Horn BD, Rettig ME. Interobserver reliability in the Gustilo and Anderson classification of open fractures. J Trauma. 1993;7:357–360.

    CAS  Google Scholar 

  20. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.

    Article  PubMed  CAS  Google Scholar 

  21. Lenarz CJ, Watson JT, Moed BR, Israel H, Mullen JD, Macdonald JB. Timing of wound closure in open fractures based on cultures obtained after debridement. J Bone Joint Surg Am. 2010;92:1921–1926.

    Article  PubMed  Google Scholar 

  22. Melvin JS, Dombroski DG, Torbert JT, Kovach SJ, Esterhai JL, Mehta S. Open tibial shaft fractures: I. Evaluation and initial wound management. J Am Acad Orthop Surg. 2010;18:10–19.

    PubMed  Google Scholar 

  23. Okike K, Bhattacharyya T. Trends in the management of open fractures: a critical analysis. J Bone Joint Surg Am. 2006;88:2739–2748.

    Article  PubMed  Google Scholar 

  24. Ostermann PA, Seligson D, Henry SL. Local antibiotic therapy for severe open fractures: a review of 1085 consecutive cases. J Bone Joint Surg Br. 1995;77:93–97.

    PubMed  CAS  Google Scholar 

  25. Orr HW. The Orr method for wounds and compound fractures. JAMA. 1942;118:917.

    Article  Google Scholar 

  26. Orr HW. Development of fracture surgery during the past 100 years. Clin Orthop. 1953;2:5–11.

    PubMed  CAS  Google Scholar 

  27. Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res. 1989;243:36–40.

    PubMed  Google Scholar 

  28. Pollak AN, Jones AL, Castillo RC, Bosse MJ, MacKenzie EJ; LEAP Study Group. The relationship between time to surgical debridement and incidence of infection after open high-energy lower extremity trauma. J Bone Joint Surg Am. 2010;92:7–15.

    Google Scholar 

  29. Veliskakis KP. Primary internal fixation in open fractures of the tibial shaft: the problem of wound healing. J Bone Joint Surg Br. 1959:41:342–354.

    PubMed  Google Scholar 

  30. Webb LX, Bosse MJ, Castillo RC, MacKenzie EJ; LEAP Study Group. Analysis of surgeon-controlled variables in the treatment of limb-threatening type III open tibial diaphyseal fractures. J Bone Joint Surg Am. 2007;89:923–928.

    Article  PubMed  Google Scholar 

  31. Zalavras, CG, Marcus RE, Levin LS, Patzakis MJ. Management of open fractures and subsequent complications. J Bone Joint Surg Am. 2007;89:884–895.

    Article  PubMed  Google Scholar 

  32. Zalavras CG, Patzakis MJ. Open fractures: evaluation and managment. J Am Acad Orthop Surg. 2003;11:212–219.

    PubMed  Google Scholar 

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Correspondence to Seth S. Leopold MD.

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All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request.

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Kim, P.H., Leopold, S.S. Gustilo-Anderson Classification. Clin Orthop Relat Res 470, 3270–3274 (2012). https://doi.org/10.1007/s11999-012-2376-6

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  • DOI: https://doi.org/10.1007/s11999-012-2376-6

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