Gustilo Classification Flashcards
1
Q
Type I
A
wound less than 1cm
2
Q
Type II
A
1-10cm
3
Q
Type III A
A
greater than 10cm, high energy
adequate tissue for covrage
includes segmental or extensively comminuted fracure even if less than 10 cm
4
Q
Type IIIB
A
extensive periosteal stripping and requires free soft tissue transfer
5
Q
Type IIIC
A
vascular injury requiring vascular repair
6
Q
What Gustilo classes require antibiotics and which ones
A
Class I and II: 1st gen cephalosporin x 24hrs
Class III: first generation cephalosporin (Gram +ve coverage) + aminoglycoside (gram -ve coverage) x 24-72 hrs
+ Pencillin if concern for anaerobic organism (eg clostridia in farm injury)
