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Gustilo-Anderson classification system for open fracture and related infection rates

Gustilo-Anderson classification system for open fracture and related infection rates
Gustilo-Anderson fracture type Definition Historical infection rates (percentage)
I Wound <1 cm; minimal contamination, comminution and soft-tissue damage 0 to 2
II Wound >1 cm; moderate soft-tissue damage, minimal periosteal stripping 2 to 5
IIIa Severe soft-tissue damage and substantial contamination; coverage adequate 5 to 10
IIIb Severe soft-tissue damage and substantial contamination; coverage inadequate 10 to 50
IIIc Arterial injury requiring repair 25 to 50
Reproduced with permission from: Okike K, Bhattacharyya T. Trends in the management of open fractures. A critical analysis. J Bone Joint Surg Am 2006; 88:2739. Copyright © 2006 Journal of Bone and Joint Surgery, Inc.
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