ch. 5 Open Fracture

Posted: May 5, 2012 in Traumatology
  • The Oestern and Tscherne classification for open fractures uses wound size, level of contamination, and fracture pattern to grade open fractures
Grade I
  • Open fractures with a small puncture wound without skin contusion
  • negligible bacterial contamination
  • low-energy fracture pattern
Grade II
  • Open injuries with small skin and soft tissue contusions
  • moderate contamination
  • variable fracture patterns
Grade III
  • Open fractures with heavy contamination
  • extensive soft tissue damage
  • often, associated arterial or neural injuries
Grade IV
  • Open fractures with incomplete or complete amputations

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