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Table 3 Gustilo and Anderson classification of open fractures [7]

From: The Libyan civil conflict: selected case series of orthopaedic trauma managed in Malta in 2014

Type I

Open fracture with laceration <1 cm and clean

Type II

Open fracture with laceration >1 cm without extensive soft tissue damage, flaps of avulsions

Type III

Open segmental fracture with >10 cm laceration with extensive soft tissue injury or traumatic amputation. Any gunshot injury or farm machinery injury falls into this category. Type III are further subdivided into three categories (A, B and C).

IIIA

Adequate soft tissue overage

IIIB

Significant soft tissue loss with exposed bone that requires tissue transfer to achieve bony coverage

IIIC

Associated vascular injury that requires repair for limb preservation