Lower extremity

Question 1

Describe Gustillo III A injury

Answer 1

Extensive damage to soft tissue, including muscle, skin, and neurovascular structures, and a high degree of contamination.

Soft tissue coverage of bony injury is adequate.

Question 2

Describe Gustillo III B injury

Answer 2

Extensive damage to soft tissue, including muscle, skin, and neurovascular structures, and a high degree of contamination.

Also with peri-osteal stripping, bony fracture exposure, massive contamination, and high degree of comminution

Question 3

Describe Gustillo III C injury

Answer 3

Extensive damage to soft tissue, including muscle, skin, and neurovascular structures, and a high degree of contamination.

Along with any vascular injury requiring repair.

Question 4

Describe Gustillo type I injury

Answer 4

The wound is less than 1 cm long.

There is little soft-tissue damage and no sign of crush injury.

There is no or minimal comminution of the fracture.

Question 5

Describe Gustillo Type II injury

Answer 5

The soft tissue laceration is more than 1 cm long but there is no extensive soft tissue damage, flap, or avulsion.

There is slight to moderate crushing injury, moderate comminution of the fracture.

Question 6

Name 2 sensate flaps for volar thumb tip skin reconstruction

Answer 6

FDMA (Kite flap) and Islandized Moberg flap