| Type 1 |
- skin lesion < 1 cm
- clean
- simple bone fracture with minimal comminution
|
x
|
| Type 2 |
- skin lesion > 1 cm
- no extensive soft tissue damage
- minimal crushing
- moderate comminution and contamination
|
x
|
| Type 3 |
- Extensive skin damage with muscle and neurovascular involvement AND/OR
- High-speed crush injury
- Segmental of highly comminuted fracture
- Segmental diaphyseal loss
- Wound from high velocity weapon
- Extensive contamination of the wound bed
- Any size open injury with farm contamination
|
x
|
|
A
|
- Extensive laceration of soft tissues with bone fragments covered
- usually high-speed traumas with severe comminution or segmental fractures
|
x
|
|
B
|
- Extensive lesion of soft tissues with periosteal stripping and contamination
- severe comminution due to high-speed traumas
- usually requires replacement of exposed bone with a local or free flap as a cover
|
|
|
C
|
- Exposed fracture with arterial damage that requires repair
|
x |