Open Fracture

Question 1

Definition of Open Fracture

Answer 1

There is a direct communication between the external environment and the fracture.

Question 2

Where is common for open fractures

Answer 2

fingers and tibial shaft

Question 3

What classification used for Open fractures

Answer 3

Gustilo

Question 4

Gustilo Type 1 Open Fracture

Answer 4

Wound <1cm, Simple, Clean

Question 5

Gustilo Type 2 Open Fracture

Answer 5

Wound >1cm, Mod Soft Tissue Damage, Simple Fracture

Question 6

Gustilo Type 3 open fracture

Answer 6

extensive damage >10cm

Question 7

Gustilo type 3a open fracture

Answer 7

adequate periosteal coverage

Question 8

Gustilo Type 3B open fracture

Answer 8

Tissue Loss requiring soft tissue coverage

Question 9

Gustilo Type 3c open fracture

Answer 9

Vascular injury needing repair

Question 10

Gustilo Type 3 Open Fracture always classified as

Answer 10

Any Gunshot, Farm, Segmental Fracture, Bone Loss, Severe Crush, Marine

Question 11

most common type of open tibial shaft fracture

Answer 11

Type IIIB

Question 12

Antibiotics to give when fixation for open fracture

Answer 12

Cefuroxime
Augmentin
Clindamycin

Question 13

Indications for Emergency Urgent surgery within 6 hours for open fracture (5)

Answer 13

Polytraumatised patient
Marine or Farmyard environment
Gross contamination
Neurovascular compromise
Compartment syndrome