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Gustilo 12 2 0 31 3 0
Trauma Classification
Authors: Amiethab Aiyer | Ben
Taylor
Topics Techniques
AbridgedQBank
version Evidence Cases Videos Posts Groups Products Help
Type I
wound < 1 cm
Type II
1-10cm
GENERAL TRAUMA
Type III A
EVALUATION
> 10 cm, high energy
adequate tissue for coverage
High-Yield Topics
includes segmental / comminuted fractures even if wound <10cm
Evaluation, Resuscitation & farm injuries are automatically Gustillo III
DCO
Type IIIB
Gustilo Classification extensive periosteal stripping and requires free soft tissue transfer
Tscherne Classification
Type IIIC
vascular injury requiring vascular repair
Trauma Scoring Systems
SPECIFIC
PRESENTATIONS
Gustilo Type I II IIIA IIIB IIIC
Images
COMPARTMENT
SYNDROME Energy Low energy Moderate High High High
INFECTION
Wound Size < 1 cm > 1cm >10cm >10cm >10cm
SHOULDER Moderate
Contamination Clean Extensive Extensive Extensive
contamination
HUMERUS
Severe
Simple fx pattern Severe comminution
Fracture Moderate comminution or Severe comminution or
ELBOW with minimal or segmental
Pattern comminution segmental segmental fractures
comminution fractures
FOREARM fractures
Periosteal
No No Yes Yes Yes
PELVIS TRAUMA Stripping
Requires free
PELVIS
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the
cephalosporin/aminoglycoside
should be continued for 24-72
hours after the last
debridement procedure
Penicillin should be added if concern for
Trauma anaerobic organism (farm injury)
Flouroquinolones
should be used for fresh water wounds or salt water
Antibiotics
wounds
(other
can be used if allergic to cephalosporins or clindamycin
considerations)
Doxycycline and ceftazidime
can be used for salt water wounds
QUESTIONS (1)
QUESTIONS
1 of 1 Previous Next 0%
(OBQ12.156) A 36-year-old male sustains an open segmental tibia fracture associated with an
overlying 8 cm soft tissue avulsion that requires skin grafting for soft tissue coverage. No vascular
injury is identified. What is the most appropriate Gustilo-Anderson classification of this injury? Review
Topic
QID: 4516
1 Type I
2 Type II
3 Type IIIA
4 Type IIIB
5 Type IIIC
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CASES (2)
OPEN TIBIA AND FIBULA FRACTURE (C2 9/7/2016
Trauma
Trauma - Gustilo Classification 1378
HPI - MOTOR BIKE ACCIDENT 8
What would be your initial treatment of this patient? 10
GROUPS (1)
Tested (/Site/EFootprints/ViewForTopic/1003?mode=Tested)
All (/Site/EFootprints/ViewForTopic/1003?mode=All)
evidenceFootprint
100%
80%
Cost Effectiveness (more )
60%
40%
20%
9.0
0%
0 1 2 3 4 5
Clinical Impact (increase )
Key
SHOW EVIDENCE
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SPORTS
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PATHOLOGY PATHOLOGY PASS TESTIMONIALS
BASIC SCIENCE APPROACHES SELF ASSESSMENT PRIVACY POLICY
ANATOMY EXAMS
TERMS OF USE
POCL FREE CME
JOB BANK
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