Soft Tissue Injury
A 32-year-old motorcyclist presents after a high-speed collision. He has a tibial shaft fracture with a 7cm wound, significant muscle damage, and periosteal stripping. The wound is contaminated with road debris. Distal pulses are present but weak. Radiographs confirm a comminuted tibial fracture. Regarding open fractures and the Gustilo-Anderson classification:
Mark each as TRUE or FALSE
The Gustilo-Anderson classification: Type I (wound less than 1cm, minimal contamination, simple frac...
Antibiotic prophylaxis should be administered as soon as possible (within 1 hour ideally); first-gen...
Type I has wounds greater than 10cm; Type IIIC indicates no vascular injury; antibiotics can wait 24...
Surgical principles include thorough irrigation (low-pressure, high-volume with saline preferred), s...
Infection rates increase with increasing Gustilo grade: Type I (0-2%), Type II (2-10%), Type III (10...
Answer the questions to see explanations
Click T (True) or F (False) for each option