00:02 Classification of open fractures. 00:04 How do we classify open fractures? Gustilo-Anderson. 00:07 What is Gustilo-Anderson IIIB? What's the highest grade of Gustilo-Anderson classification? IIIC, worst is IIIC. 00:25 Okay. 00:26 Even without extensive soft tissues or if you have a neurovascular compromise, it will go through IIIC. 00:33 If the patient has absent peripheral pulses, it will go to IIIC. 00:36 IIIB is periosteal stripping. 00:38 IIIB is when you have an opened fracture. 00:41 Okay, so Gustilo and Anderson classification, this has been asked a few times. 00:45 Yeah, the classification open fractures. 00:48 For llB. 00:53 That's right, yeah. 00:55 But you need to, this is mainly asked on a situation where to evaluate the urgency of surgery. 01:01 So, Gustilo-Anderson IIIC is a C41. 01:09 I'll go through that in a minute, I will just show you. 01:10 So, type 1 is a small wound let's say 1cm, type 2 is a large, well not large, something, anything more than 1 cm. 01:17 That's all you need to remember, more than 1 less than 1. 01:21 Type 3 is has got a IIIA, IIIB and IIIC. 01:26 So, IIIB is periosteal stripping. 01:28 Now, that is C41 as well. 01:32 But within 6 hours of injury, the other one is within an hour. 01:37 So that's what we are trying to find out how soon you need to take this patient to treat it. 01:53 Yes, that applies. 01:59 The only exception to that will be IIIC and you don't have time to transfer. 02:08 That's the only exception, otherwise you'll have to transfer. 02:13 For IIIC or any open? Well, not as good as 5 days, isn't it? 5 days, yeah. 02:22 Clearly, varies from patient and different protocols but 5 days.
The lecture Classification of Open Fractures by Stuart Enoch, PhD is from the course Trauma and Post-OP Management.
5 Stars |
|
5 |
4 Stars |
|
0 |
3 Stars |
|
0 |
2 Stars |
|
0 |
1 Star |
|
0 |