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Gustilo Anderson classification of open fractures ppt

Management of open fracture true ppt - SlideShar

The Gustilo-Anderson classification system is the most commonly used grading system for open fractures. Fractures are designated as one of three types based on wound size, soft tissue involvement, contamination, and fracture pattern. Table 1: Gustilo-Anderson Classification System . Type I fracture Open fracture with clean wound <1 cm lon (OBQ12.156) A 36-year-old male sustains an open segmental tibia fracture associated with an overlying 8 cm soft tissue avulsion that requires skin grafting for soft tissue coverage. No vascular injury is identified. What is the most appropriate Gustilo-Anderson classification of this injury

  1. Early attempts by Veliskakis [1] at grading open fractures were refined by Gustilo and Anderson in 1976 [2]. After reviewing their initial classification of the most severe open injuries, Gustilo et al. subsequently modified their classification system into its current form in 1984 [3]
  2. Gustilo and Anderson. (JBJS 1976) This work largely addressed lower leg injuries, but has some value in other anatomical sites. The Gustilo - Anderson classification divides soft-tissue wounding of open fractures into three grades - I, II & III
  3. The Gustilo Anderson classification, also known as the Gustilo classification, is the most widely accepted classification system of open (or compound) fractures.. The grading system is used to guide management of compound fractures, with higher grade injuries associated with higher risk of complications
  4. Classification of Open Fractures. The Gustilo-Anderson classification can be used to classify open fractures. Type 1: <1cm wound and clean. Type 2: 1-10cm wound and clean. Type 3A: >10cm wound and high-energy, but with adequate soft tissue coverage
  5. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984 Aug. 24 (8):742-6. . Orthopaedic Trauma Association: Open Fracture Study Group. A new classification scheme for open fractures. J Orthop Trauma. 2010 Aug. 24 (8):457-64.

Gustilo Anderson Classification of Open Fractures. M. Nizam .E Classification of open fractures : Important because it allows comparison of results between surgeons and in scientific publications. Gives the surgeon guidelines for prognosis and permits us to make some statements about methods of treatment. Classification of Open Fractures Final- Open Fracture Classification & Limb Salvage in Trauma - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. gustilo anderson classification and limb salvag Any system of fracture classification helps in communication between clinicians and may aid in decisions of management and prognosis. The system of classification of open fractures into three types of increasing severity was first introduced by Veliskakis5. This concept was fully developed by Gustilo and Anderson6

The Gustilo-Anderson classification continues to be the mainstay, but the adoption of severity scores such as the Ganga Hospital score may provide additional predictive utility.Recent literature has challenged the perceived need for rapid debridement within 6 hours and the rationale for prolonged antibiotic therapy in the open fracture Gustilo-Anderson open fracture grading. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976; 58:453. Gustilo RB, Gruninger RP, Davis T. Classification of type III (severe) open fractures relative to. Gustilo open fracture classification classifies into three major categories (types) depending on the mechanism of the injury, soft tissue damage, and degree of skeletal involvement. Figures. Open fracture of the distal radius and ulna, Gustilo type I. Gustilo type I open fracture. Image courtesy of Doncovska The Gustilo open fracture classification system is the most commonly used classification system for open fractures.It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams. This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976; 58:453. Gustilo RB, Gruninger RP, Davis T. Classification of type III (severe) open fractures relative to treatment and results. Orthopedics 1987; 10:1781

The Gustilo classification is the most established system for classifying open fractures. Despite this, the classification has changed in how it has been described and interpreted. We have traced how this classification has slowly evolved throughout the literature over the past 4 decades Gustilo-Anderson classification. Originally based on open tibial fractures and the size of associated soft-tissue wound but commonly applied to all open fractures. Classification is made in the operating room at time of the final debridement. Infection rates increase dramatically between lower types and IIIB and IIIC fractures

Ppt Open-fracture-management Powerpoint Presentations

To better understand the controversies surrounding the management of open fractures, it is important to recognize their most commonly used categorization scale, the Gustilo-Anderson Classification ().This classification system, which was corroborated by other investigators (), correlates with the risk of infection and nonunion and therefore provides the platform for treatment guidelines The system of Gustilo and Anderson for the classification of open fractures is commonly used as a basis for treatment decisions and for comparison of the published results of treatment. The reliability of this classification system was tested on the basis of the responses of 245 orthopaedic surgeons to a survey The wound should be examined thoroughly and characterized according to the Gustilo-Anderson classification system for open fractures as this will dictate initial treatment. Gustilo-Anderson type I open fractures is a low energy injury with wounds less than 1 cm with minimal soft tissue damage Infection rates of open tibial fractures have been reported to be between 21.1% and 45.7%, depending on severity of injury according to the Gustilo-Anderson grading system.31 With the use of early antibiotics and debridement rates are falling.32 Open tibial fractures have a high incidence of non-union owing to loss of blood supply, the presence.

Ppt Treatment-of-open-fractures Powerpoint Presentations

These are the fractures in which there is break in the soft tissue envelope over or near the fracture, such that fracture haematoma communicates with extern GustiloFracture Classification • The seventh (7th) character in some fractures will identify the type of open fracture using the Gustilo Fracture Classification. • Categories S52, S72, and S82 are impacted by the Gustilo Fracture Classification Open fractures vary in severity depending on the mechanism and energy of injury. Therefore, classification systems of open fractures have been developed to describe the injury, guide treatment, determine prognosis, and compare various treatment methods for research purposes. The classification system of Gustilo and Anderson Gustilo and Anderson were the first to stratify open fractures into types I, II and III with worsening severity and prognosis (particularly infection), mainly for tibial fractures. Gustilo modified the classification in 1984 [ 7 ], dividing the type III fractures into further subtypes finding them too inclusive of a diverse array of injuries

Gustilo Classification - Trauma - Orthobullet

  1. imal soft tissue damage or loss, may have com
  2. Excessive skin contusion, crushed skin or destruction of muscle, subcutaneous degloving, acute compartment syndrome, and rupture of major blood vessel or nerve. Gustilo-Anderson Classification of Open Tibia Fractures. Type I. Limited periosteal stripping, clean wound < 1 cm. Type II
  3. ution • Type II - Wound 1-10 cm - Possible tissue conta
  4. 24. Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. J Bone Joint Surg 58A:453-458, 1976 25. Gustilo RB, Mendoza RM, Williams DN: Problems in the management of type III (severe) open fracture: A new classification of type III open fracture. J Trauma 24:742-746.
  5. Open fractures are devastating injuries that are associated with increased Gustilo Anderson Classification 1 8 1 12.5 2 23 2 8.7 3A 60 7 11.7 3B 2 0 0 3C 1 0 0 Table 2. Total fractures and infection rate by sub classification Gustilo Anderson Fig 6. Pre reduction radiograph . Title: PowerPoint Presentation Author
  6. There is no consensus in the management of open fractures. The Gustilo-Anderson classification provides a guide to treatment. The classification is based on the extent of the skin wound exposing the fracture and of additional damage; fractures are divided into three types with the third type further divided into three subtypes [6, 7]. Open.

La classification de Gustilo est parmi les classifications les plus couramment utilisées pour les fractures ouvertes.Elle a été établie par Ramon Gustilo et Anderson, puis modifiée et élargie par Gustilo, Mendoza, et Williams [1], [2], [3].. Cette classification utilise la quantité d'énergie, l'étendue des lésions des tissus mous et le degré de la contamination pour évaluer la. Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 24:742-746. PubMed CAS Google Scholar 24. Gustilo RB, Merkow RL, Templeman D (1990) The management of open fractures. J Bone Joint Surg Am 72:299-30 open fractures. The Gustilo open fracture clas-sification system is the most com-monly used classi-fication system for open fractures. It was created by Ramon Gustilo and J.T. Anderson, and then further ex-panded by Gustilo, Mendoza, and Williams. 10, 11, 12 The Gustilo Classification is as follows: I Open fracture, clean wound, wound <1 cm in. Based on the treating physicians' Gustilo-Anderson classification of open fractures, 53 (45.3%) were type I; 25 (21.4%) were type II; 25 (21.4%) were type IIIa; 10 (8.5%) were type IIIb; and 4 (3.4%) were type IIIc. The number of patients that were upgraded to trauma surgery activation was 91 (77.8%), with 17 (14.5%) having polytraumatic. Gustilo and Anderson classification of open fractures. Type I: clean wound smaller than 1 cm in diameter, appears clean, simple fracture pattern, no skin crushing. Type II: a laceration larger than 1 cm but without significant soft-tissue crushing, including no flaps, degloving or contusion. Fracture pattern may be more complex

Gustilo and Anderson Classification of Open Fractures. Variant Image ID: 8211. Add to Lightbox. Save to Lightbox. Email this page. Link this page. Print. Please describe! how you will use this image and then you will be able to add this image to your shopping basket The most commonly used is the Gustilo-Anderson classification, which is simple, easy to use, and able to give an idea of the expected outcome and guide treatment regimes (Table 1). Table 1. Gustilo-Anderson classification for open fractures. Type IIIc fractures are less common in small animals due to extensive collateral blood supply. This is a review of Medline and PubMed articles on open fractures published in the English literature between 1945 and April 2005. The emphasis of most published articles has been placed on definitive treatment of these injuries at sophisticated referral hospitals. The prehospital emphasis has been on rapid evacuation and referral to ensure that definitive treatment can be initiated as quickly. Severity of open fractures is frequently categorized using the modified Gustilo-Anderson classification system and/ or the abridged version (Table 1), though other classi-fication systems have been explored. Prognostic value of the modified Gustilo-Anderson classification system assists with determination of treatment course; however Interobserver reliability in the Gustilo and Anderson classification of open fractures. J Orthop Trauma. 1993; 7(4):357-360. 10.1097/00005131-199308000-00012. Google Scholar; 14. Brumback RJ, Jones AL. Interobserver agreement in the classification of open fractures of the tibia: the results of a survey of two hundred and forty-five.

Gustilo Anderson Classification Revisited Indian

accurate classification of the fracture and associated soft-tissue injury; however, it is not commonly used in the United States.4 More commonly, open fractures of the tibial diaphysis are classified ac-cording to the system of Gustilo and Anderson.5 First proposed in 1976, this classification was modified to its current form in 19846 (Table 2) Gustilo RB, Anderson JT; Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976 Jun;58(4):453-8 Introduction. Gustilo and Anderson's classification (Table 1) of open long bone fractures is often generalized to include all fractures [5, 6].However, we postulate that it is not easy to use this classification to correlate the severity of fracture with the incidence of contamination associated with open distal radius fractures Multivariate regression analysis showed that smoking, combined diabetes, surgical time, and fracture Gustilo-Anderson classification were independent risk factors for perioperative infection of open tibial fractures, and the difference in time from injury to first debridement was not related to infection Surgical debridement and washout within 24 hours. Thorough ED irrigation and debridement appears safe for hand (metacarpal, phalanx) fractures without excessive contamination. Irrigation may be started in the ED for grossly contaminated wounds. Place a sterile dressing over wound to decrease continued contamination

Principles of management of open fracture

Gustilo Anderson classification Radiology Reference

Damage in soft tissues and local perfusion represents major issues in treatment of open fractures. For the assessment of open fractures, the Gustilo-Anderson classification system was widely used . Depending on severity of the lesion, treatment might include debridement and internal and external fixation in the acute management [4, 5]. The. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures J Trauma 1984; 24(8): 742-6. [2] Brumback RJ, Jones AL. Interobserver agreement in the classification of open fractures of the tibia Tibia fractures are commonly associated with soft-tissue injury, which can be graded to identify injuries at risk for complications and poor outcome. Open fractures are commonly classified by the Gustilo-Anderson system, 1 whereas the soft-tissue injury in a closed fracture can be graded using the method of Tscherne. 2 Although the Gustilo-Anderson system is widely used, it should be noted. Gustilo Anderson Classification of Open Fractures. M. Nizam .E Classification of open fractures : Important because it allows comparison of results between surgeons and in scientific publications. Gives the surgeon guidelines for prognosis and permits us to make some statements about methods of treatment. Classification of Open Fractures

PATIENTS AND METHODS: Patients of any age with a first presentation of an open long bone fracture were included. Standard radiographs, wound photographs, and a short clinical description were given to eight orthopaedic surgeons, who independently evaluated the injury using both the Gustilo and Anderson (GA) and OTA-OFC classifications Gustilo-Anderson type III open fracture is defined as an open fracture with extensive soft tissue damage and bone loss . These fractures usually occur after a high-energy trauma with a risk of infection approaching 7% . The treatment remains a challenge for most orthopedic surgeons

Open Fractures - Classification - Management - TeachMeSurger

Bony injuries of the pelvis were classified according to Tile classification. 18 The location of soft tissue injuries was classified using the method described by Faringer et al. 19 The severity of the soft tissue injury was classified using the Gustilo-Anderson system, 20,21 and Jones-Powell classification 22 was applied to classify the. Background. There are well-established fracture classifications which serve to determine the mechanism of injury, the absorbed energy, the treatment options and the follow-up.1 In case of open fractures, the Gustilo-Anderson classification is the most widely used attention to the soft tissues.2 In case of closed fractures, the paying evaluation of vasculo-nervous bundles of the extremity and. * Segmental fractures, farmyard injuries, fractures occurring in a highly contaminated environment shotgun wounds, or high-velocity gunshot wounds automatically result in classification as a type III open fracture. (Chapman, M.W.: The Role of Intramedullary Fixation in Open Fractures, Clin. Orthop., 212:27, 1986.) Basics of Orthopedic Treatmen Gustilo-Anderson type III fracture is defined as an open fracture with extensive soft-tissue laceration, damage, or loss or an open segmental fracture, and type IIIB as a severe that open fracture with extensive soft-tissue loss. The severest open fracture is called type IIIC; it is associated with an arterial injury requiring immediate repair. Open #'s can graded according to the severity of injury ( Gustilo and Anderson). Grade 1 : clean small puncture wound due to bony spike. Grade 2 : wound > 1,0 cm

Open Fractures Clinical Presentation: History and Physical

Gustilo Anderson Wound Tissue (Biology

  1. The Gustilo open fracture classification for extremities classifies open fractures into three major categories (types) depending on the mechanism of the injury, soft tissue damage, and degree of skeletal involvement. The classes are I, II, and III, with the third class further subdivided into A, B, or C
  2. ated wound, soft tissue damage and periosteal stripping •Look for vascular injury •Consult vascular surgeon if presen
  3. local antibiotic hydroxyapatite bio-composite in the management of open Gustilo Anderson type IIIB fractures, Journal of Orthopaedics 16 (2019) 278-282 6. Hofmann Autologous Iliac Bone Graft Compared with Biphasic Hydroxyapatite and Calcium Sulfate Cement for the treatment o
  4. In: Nayagam S, editor. Apley's system of orthopaedics and fractures 9th ed. United States: Crc Press;2010.p.672-88. 11. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones; retrospective and prospective analyses. J Bone Joint Surg Am 1976;58:453-8. 12
  5. ation, and the specific characteristics of the fracture
  6. Open Fracture Classification The most known gradation systems include the Gustillo-Anderson system and the AO/OTA system. The first one becomes more practical in assessing fracture severity and the probability of infection [10-12], but the second one, due to its greater reproducibility and lower inter
  7. In their original paper Gustilo and Anderson stated There is universal agreement that open fractures require emergency treatment, including adequate debridement and irrigation of the wound [1]. Prevention of wound sepsis remains the prime objective in the management of open fractures. The reporte

Final - Open Fracture Classification & Limb Salvage in

2. Mechanism, clinical features and management of scaphoid fracture. Classify open fractures. Discuss the emergency management of grade 3B (Gustilo & Anderson Classification) open fractures of tibia. 4. a) Damage control Orthopaedics. b) Stress fracture. 5. Define Virchow's Triad. Discuss the management of DVT An open distal 1/3 tibia and fibula fracture (Gustilo grade III-A). The Gustilo classification for open fractures1: I: Wound length <1 cm. II: Wound length 1-10 cm. III: Wound length usually >10 cm with periosteal stripping. A: Closable using a local flap or directly. B: Requires free tissue/rotational flap. C: Associated arterial injury The incidence of open fractures of tibia is around 23.5% of all tibial fractures per year and comprises 0.2% of all injuries per year . The risk of infection in an open fracture increases with increasing severity of injury on the Gustilo and Anderson grading system from <2% in Grade I to almost 50% in Grade III open fractures

Stability of the fracture influences treatment. Transverse fractures are considered length-stable and some oblique or comminuted fractures are considered length-unstable. Open fractures are classified by the system of Gustilo and Anderson.(Gustilo, 1976) Etiology: Treatment: Treatment of femur fractures varies by age, fracture. In our series this 12. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III is not the case in 33% of cases with a sagittal family frac- (severe) open fractures: a new classification of type III open fractures View basic fr management.pptx.ppt from BIOLOGICAL MIC 405 at Multan College of Education, Multan. Basic principals of fracture Management Dr.M.Shahbaz Raza Asst Proffesor Fracture ? A break in th Classification. Gunshot wounds are classified according to the speed of the projectile using the Gustilo open fracture classification: Low-velocity: Less than 1,100 ft/s (340 m/s) Low velocity wounds are typical of small caliber handguns and display wound patterns like Gustilo Anderson Type 1 or 2 wound

Principles of Management of Open Fracture

Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984;24(8):742-6. [ Links ] 21. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses Le traitement des fractures des os longs fait partie integrante des tâches quotidiennes d'un service d'orthopedie et peut representer une part importante de son activite. Le choix de la strategie therapeutique est influence par de nombreux facteurs plus ou moins objectifs allant de l'experience de l'operateur aux recommandations basees sur des preuves scientifiques, en incluant des facteurs.

Open fractures of the lower extremity: Current management

There were 10 (19.6%) open fractures (Gustilo-Anderson classification type 1, four cases; type 2, six cases), but soft tissue reconstruction was not necessary for all cases. Motor vehicle crash was the most common cause of trauma (43 patients) Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976. dnb ortho question bank,Previous Years DNB Orthopaedics theory Papers,dnb orthopaedics theory question bank, orthopedics, orthopaedics,dnb orthop theory papers, dnb orthopaedics theory papers, dnb ortho theory questions, last ten years dnb orthopedics papers, last 10 years dnb ortho question papers,dnb orthopaedics theory exam,orthodnb.co

Gustilo-Anderson open fracture grading - UpToDat

  1. ology Game 1 No teams 1 team 2 teams 3 teams 4 teams 5 teams 6 teams 7 teams 8 teams 9 teams 10 teams Custom Press F11 Select menu option View Specific ter
  2. An open fracture is a medical emergency that requires urgent evaluation and prompt treatment. Open fractures are serious injuries that can lead to complications like infection and delayed bone healing. Many open fractures will require urgent surgical treatment to clean out and stabilize the bone. In addition, antibiotic treatment is always.
  3. Open fractures are most commonly graded according to the Gustilo and Andersen classification.3, 4 This is applied at the time of surgery and uses a 1-3 scale according to the size of the wound. Grade III fractures are further divided according to the complexity of reconstruction needed
  4. Open fractures are classified based on the Gustilo classification system. Type I result from low energy and the wound is 1 cm or less. Type II involves higher energy and the wound is less than 10 cm. Type III open fractures are subclassified
  5. International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) is based on the WHO ICD-9 standard diagnostic classification system. Volumes 1 & 2 (diagnosis codes) applies to ALL settings. Volume 3 (procedure codes) applies to inpatient hospital only. ICD-9-CM diagnosis codes are required under HIPAA for uniform claim.
  6. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984; 24 (8):742-746. Court-Brown CM, Brewster N. Epidemiology of open fractures. Court-Brown CM, McQueen MM, Quaba AA (eds), Management of open fractures. London: Martin Dunitz. 1996.
  7. View Fracture PPTs online, safely and virus-free! Many are downloadable. Learn new and interesting things. Get ideas for your own presentations. Share yours for free

The 57-year-old male had a traffic accident, and sustained a Rüedi-Allgöwer type III fracture (A~C) and Gustilo-Anderson type IIIA open pilon fracture of right ankle (D). The patient underwent open reduction and internal fixation about fibular shaft fracture, closed reduction and external fixation about pilon fracture (E) RB Gustilo, JT Anderson. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976; 58: 453 -458

Gustilo open fracture classification - OrthopaedicsOne

  1. ation 3Extent of deep soft tissue injury/ periostealstripping 4 Fracture configuration Gustilo‐Anderson Classification • Grade I: wound less than 1 cm long, clean • IIIa; adequate soft tissue coverag
  2. Gustilo R.B., Mendoza R.M., Williams D.N. Problems in the management of type III severe open fractures : a new classification of type III open fractures. Jour. Trauma. 1984, 24 (8) : 742-746. Duparc J., Huten D. Classification des fractures ouvertes de jambe. Cahiers d'Enseignement de la SOFCOT sous la direction de J. VIDAL
  3. In patients with Gustilo-Anderson type III injuries the duration of pre-emptive therapy is not clear, owing to a lack of comparative studies. However, it should not exceed 72 hr. Finally, in case of open fractures, systemic antibiotics alone are often not sufficient because the damage to the surrounding tissues and blood vessels, by which.
  4. ution

Gustilo open fracture classification - Wikipedi

We classified open fracture based on size of wound, soft tissues, bone and vascular damage, and the degree of wound contamination (Gustilo and Anderson/table1). Table 1. Open fracture classification (Gustilo and Anderson Classification Open tibia fractures in children are rare and account for only 2% of all pediatric fractures .Approximately 30% of these are high-energy Gustilo grade III injuries, which can result in infection, compartment syndrome, bone loss, and neurovascular damage .Although the soft tissues in grades I and II fractures can frequently be closed primarily, wound management associated with Gustilo grade. Objectives Determine the impact of infections on direct costs and healthcare resource use in England for patients undergoing intramedullary nailing (IMN) for tibial shaft fractures. Design Non-concurrent cohort based on retrospectively collected data with 2-year follow-up. Setting England. Participants The study population included adult patients (≥18 years) in England with a diagnosis of. Second, the TQIP database does not capture traditional fracture severity grading systems (such as the Gustilo-Anderson classification) that could influence timing of fixation. However, we did consider open versus closed fracture status to overcome this limitation

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Start studying Orthopedic Surgery - Surgical Recall. Learn vocabulary, terms, and more with flashcards, games, and other study tools A second patient sustained a Gustilo-Anderson grade 3A open fracture which required three irrigation and débridement procedures before definitive fixation, which involved interposition arthroplasty of the trochlea using triceps tendon autograft due to significant bone loss

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The Evolution and Interpretation of the Gustilo and

Conjoint bicondylar coronal plane fracture is a rare orthopaedic injury, associated with high-velocity trauma. The proposed mechanism is axially directed shear forces in a flexed knee. To the best of our literature search, only 2 cases of conjoint bicondylar coronal fracture have been published in English literature—1 each in adult and paediatric age group Gustilo open fracture classification — Wikipedia . Wiki2.org DA: 9 PA: 40 MOZ Rank: 64. The Gustilo open fracture classification system is the most commonly used classification system for open fractures.It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and William

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