Gustilo-Anderson classification
Pronunciation: gus-TEE-low AN-der-son
Grading system for open fractures based on wound size, contamination level, and soft tissue damage.
Full Definition
The Gustilo-Anderson classification is the standard system for categorizing open fractures based on the severity of soft tissue injury, degree of contamination, and mechanism of injury. Type I fractures have wounds less than 1 cm with minimal soft tissue damage. Type II fractures have wounds greater than 1 cm with moderate soft tissue damage but adequate coverage. Type III fractures have extensive soft tissue damage and are subdivided into IIIA (adequate soft tissue coverage), IIIB (requiring soft tissue coverage), and IIIC (associated with arterial injury requiring repair). This classification guides treatment decisions, antibiotic prophylaxis, and prognosis.
Usage
Usage note: Often abbreviated as 'Gustilo Type' followed by the grade (e.g., 'Gustilo Type IIIB').
In Context
- "The open tibia fracture was classified as Gustilo-Anderson Type IIIB." — Emergency department record
- "Given the Gustilo Type I classification, immediate irrigation and debridement were performed." — Operative report