Open Fracture: Gustilo classification

Open fractures have been classified by Gustilo as follows, with higher numbers indicating more severe injuries:

Gustilo Classification
I Low energy, wound less than 1 cm
II Wound greater than 1 cm with moderate soft tissue damage
III High energy wound greater than 1 cm with extensive soft tissue damage
IIIA Adequate soft tissue cover
IIIB Inadequate soft tissue cover
IIIC Associated with arterial injury

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