Gustilo classification 

ORTHOPAEDICS

Gustilo classification is a system for classifying severity of open tibial fractures, which forms the basis for deciding whether to reconstruct or amputate the leg. 

Gustilo classificiation grades

I    Open fracture, clean wound, <1 cm in length

II   Open fracture, wound > 1 cm in length without major soft-tissue damage

III  Open fracture with extensive soft-tissue damage

• IIIA  Adequate periosteal coverage of the fractured bone

• IIIB  Extensive soft-tissue loss, periosteal stripping and bone damage

• IIIC  Arterial injury requiring repair, irrespective of soft-tissue injury

Reference

 J Trauma 1984; 24:742

http://en.wikipedia.org/wiki/Gustilo_open_fracture_classification

Orthopaedics