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- The Gustilo-Anderson Classification System classifies open fractures based on their features as:
| Fracture Grade | |||||
| Features | Type I | Type II | Type IIIA | Type IIIB | Type IIIC |
| Wound size, cm | <1 cm | >1 and <10 cm | >10 cm | >10 cm | >10 cm |
| Energy | Low | Moderate | High | High | High |
| Contamination | Minimal | Moderate | Severe | Severe | Severe |
| Deep soft tissue damage | Minimal | Moderate | Severe | Severe | Severe |
| Fracture comminution | Minimal | Moderate | Severe or Segmental | Severe or Segmental | Severe or Segmental |
| Periosteal stripping | No | No | Yes | Yes | Yes |
| Local coverage | Adequate | Adequate | Adequate | Inadequate | — |
| Neurovascular injury | No | No | No | No | Yes |
- Clinical manifestation of Open Fractures:
- Wound
- Periosteal Stripping
- Fracture Commination
- Soft Tissue Damage