GA Classifications and Zone treatments

Question 1

Zone 1 procedures

Answer 1

primary closure

Question 2

zone 2 procedures

Answer 2

primary closure
flaps and grafts may be necessary
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Question 3

zone 3 procedures

Answer 3

usually not involved, but may need flap coverage

Question 4

zone 4 procedures

Answer 4

tendon and bone injuries needing surgical repair
greatest complication rate due to soft tissue breakdown
splint at 90 degrees to prevent contracture

Question 5

zone 5 procedures

Answer 5

splint at 90 degrees to prevent contracture

surgical reduction may be necessary

Question 6

G and A classification for Type 1

Answer 6

puncture wounds <1 cm with minimal contamination and muscle damage

Question 7

G and A classification for Type 2

Answer 7

laceration >1 cm with moderate soft tissue injury

bone coverage adequate, comminution minimal

Question 8

G and A classification for Type 3a

grade 3 has highest risk for infection

Answer 8

heavily contaminated wound with severe comminution

extensive soft tissue damage with adequate soft tissue coverage

Question 9

G and A classification for Type 3b

grade 3 has highest risk for infection

Answer 9

periosteal stripping and exposed bone

Question 10

G and A classification for Type 3c

grade 3 has highest risk for infection

Answer 10

extensive arterial injury