GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (1/3)
#PLE2021 #Surgery

Type I - < 1cm, c1ean wound

Type II - 1-10cm, moderate, MUSCLE damage

Type III > 10cm, Comminut111on
[See next tweet for Class III subtypes]
GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (2/3)
#PLE2021 #Surgery

Type III Subtypes - A, B, C
- IIIA: severe crushing w/ Adequate coverage
- IIIB: Buuin ulit (Required reconstruction)
- IIIC: CV structures affected (Vascular Injury)
GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (3/3): Antibiotic Tx
#PLE2021 #surgery

✅Goal: CAP the infection!!✅

Type I: C- Cephalosporin 1st gen (usu Cefazolin)

Type II: Cephalosporin + A! Aminoglycoside!!!

Type III: Ceph 1st gen + Aminoglycoside + P!! Penicillin!!

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