Many classifications of indicators used for diagnostic studies and appeal. All systems are based on the number of assessment of damage that occur on the network software and bones, with no / no contamination. Everything related to the severe trauma that occurred. System Gustillo and Anderson (1978) system is the most widely used. This type of classification can be increased with time (Armis, 2001).
Classification fracture open Gustillo:
- Type I:
Wounds on the skin of less than 1 cm
Clear
There is no contamination on the fracture
- Type II:
Wounds on the skin more than 1 cm
Damage to the network software are
No rip apart the skin or
Fragment is not broken
- Type III:
Injury because the strength of
Damage extensive network software
Injured or destroyed by the severe
Or blood vessel damage and need repair
Fracture or broken, including fracture or segmental bone loss and is not in accordance with the size of wounds on the skin
In 1984 Gustillo modify the classification of type III with subtypes based on the degree of contamination, extent of periosteal stipping, and opening the bones and there is no damage or blood vessel (Armis, 2001).
Classification open fracture type III:
- Type IIIA:
Network soft enough to cover the bones although there is damage to the network is large enough.
- Type IIIb:
Damage a wide range of network software with periosteal stripping and exposure of bone.
- Type IIIc:
Fracture with arterial damage that requires repair.
This system is simple and very useful. However, this category is the loss on the examiner's subjective assessment of risk so that an error occurred. The variables used for each type is also not specific (Armis, 2001).
According Klebuc & Varner (2004) degrees of complexity and wound therapy on the open fracture influenced by several factors, among others:
a. Energy level (fall from a height, traffic accident at high speed, and caliber bullet wounds in the shoot)
b. Degree of contamination
c. Degree of damage to the network software
d. The complexity of the fracture / fracture fragment patterns
e. Damage vascular / vein
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