00:02
Classification of
open fractures.
00:04
How do we classify
open fractures?
Gustilo-Anderson.
00:07
What is Gustilo-Anderson IIIB?
What's the highest grade of
Gustilo-Anderson classification?
IIIC, worst is IIIC.
00:25
Okay.
00:26
Even without extensive soft tissues or
if you have a neurovascular compromise,
it will go through IIIC.
00:33
If the patient has absent peripheral
pulses, it will go to IIIC.
00:36
IIIB is periosteal stripping.
00:38
IIIB is when you have
an opened fracture.
00:41
Okay, so Gustilo and
Anderson classification,
this has been asked a few times.
00:45
Yeah, the classification
open fractures.
00:48
For llB.
00:53
That's right, yeah.
00:55
But you need to,
this is mainly asked on a situation where
to evaluate the
urgency of surgery.
01:01
So, Gustilo-Anderson
IIIC is a C41.
01:09
I'll go through that in a
minute, I will just show you.
01:10
So, type 1 is a small
wound let's say 1cm,
type 2 is a large,
well not large,
something,
anything more than 1 cm.
01:17
That's all you need to remember,
more than 1 less than 1.
01:21
Type 3 is has got a
IIIA, IIIB and IIIC.
01:26
So,
IIIB is periosteal stripping.
01:28
Now, that is C41 as well.
01:32
But within 6 hours of injury,
the other one is within an hour.
01:37
So that's what we are
trying to find out
how soon you need to take
this patient to treat it.
01:53
Yes, that applies.
01:59
The only exception to that will be IIIC
and you don't have time to transfer.
02:08
That's the only exception,
otherwise you'll have to transfer.
02:13
For IIIC or any open?
Well, not as good as 5
days, isn't it?
5 days, yeah.
02:22
Clearly, varies from patient and
different protocols but 5 days.