Gustilo Classification

Posted: Sep 7 2016 #(C2674)

OPEN TIBIA AND FIBULA FRACTURE

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DR MICHAEL TS GERGIS DO

lusaka, ZM

HPI

MOTOR BIKE ACCIDENT

PMH

HALF CM WOUND ON THE MEDIAL SIDE OF THE LEG

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1 of 4

What would be your initial treatment of this patient?

1 Debridement, Irrigation and IM nailing

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2 Debridement, Irrigation external fixator

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3 Debridement, Irrigation and application of ring fixator

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4 Debridement, Irrigation and long leg cast placement

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P: 9281

How would you classify this open fracture?

1 Type I

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2 Type II

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3 Type III

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4 Type IIIA

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5 Type IIIB

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6 Type IIIC

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P: 9282

If choosing to perform a debridement and irrigation, what, if any, adjunct would you use?

1 Non-absorbable antibiotic beads

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2 Vancomycin powder

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3 Wound vac application

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4 Absorbable antibiotic beads

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P: 9285

Assuming an OR is available, in what time period would you ideally take this patient to the OR in?

1 Less than 6 hours

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2 Within the first 24 hours

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3 Within the first 6-12 hours

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P: 9286

OUTCOMES

Post-procedure P1

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