Gustilo-Anderson classification

The Gustilo-Anderson classification can be used to classify open fractures

Type 1

• Caused by low energy trauma
• The wound measures less than1cm
• Clean wound with minimal or no contamination at all.
• Minimal soft tissue damage
• Minimal fracture comminution
• No periosteal stripping
• Intact Neurovasculature

Type 2

• Caused by moderate energy trauma
• The wound measures between1cm to 10cm
• Moderate contamination.
• Moderate soft tissue damage
• Moderate fracture comminution
• No periosteal stripping
• Intact Neurovasculature

Type 3A

• Caused by high energy trauma.
• The wound measures larger than 10cm.
• Extensive contamination.
• Extensive soft tissue damage
• Severe fracture comminution
• Significant periosteal stripping
• Intact Neurovasculature

Type 3B

• Caused by high energy trauma.
• The wound measures larger than 10cm.
• Extensive contamination.
• Extensive soft tissue damage
• Severe fracture comminution
• Significant periosteal stripping
• It requires free tissue flap or rotational flap coverage
• Intact Neurovasculature

Type 3C

• Caused by high energy trauma.
• The wound measures larger than 10cm.
• Extensive contamination.
• Extensive soft tissue damage
• Severe fracture comminution
• Significant periosteal stripping
• It requires free tissue flap or rotational flap coverage
• Significant Neurovascular damage.