Gustilo-Anderson Classification

Kim, Paul H.; Leopold, Seth S.

doi:10.1007/s11999-012-2376-6

Cited by 250 publications

(134 citation statements)

References 27 publications

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“…The exclusion criteria were patients younger than 19 years, AO type B/C3 and Gustilo & Anderson Grade IIIC. 5 The average age of our patients was 42 years. We had a male predominance of 29 patients.…”

Section: Methodsmentioning

confidence: 98%

Dynamic condylar screw versus supacondylar nail in the management of supracondylar fracture distal femur

2015

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Section: Methodsmentioning

confidence: 98%

Dynamic condylar screw versus supacondylar nail in the management of supracondylar fracture distal femur

2015

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“…First, patients had to meet limb salvage injury criteria including one or more of the following: complex fractures (Gustilo-Anderson classification for open fractures [23] grades IIIC, IIIB, and selected IIIA), vascular injuries, major soft tissue injuries, and/or severe foot injuries. Major soft tissue injuries were degloving, avulsion, or severe crush injury, and were usually associated with extensive contamination.…”

Section: Methodsmentioning

confidence: 99%

A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage

et al. 2017

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Little research has described the long-term health outcomes of patients who had combat-related amputations or leg-threatening injuries. We conducted retrospective analysis of Department of Defense and Department of Veterans Affairs health data for lower extremity combat-injured patients with (1) unilateral amputation within 90 days postinjury (early amputation, n = 440), (2) unilateral amputation more than 90 days postinjury (late amputation, n = 78), or (3) leg-threatening injuries without amputation (limb salvage, n = 107). Patient medical records were analyzed for four years postinjury. After adjusting for group differences, early amputation was generally associated with a lower or similar prevalence for adverse physical and psychological diagnoses (e.g., pain, osteoarthritis, posttraumatic stress disorder) versus late amputation and/or limb salvage. By contrast, early amputation was associated with an increased likelihood of osteoporosis during the first year postinjury. The prevalence of posttraumatic stress disorder increased for all patient groups over four years postinjury, particularly in the second year. The different clinical outcomes among combat extremity injured patients treated with early amputation, late amputation, or limb salvage highlight their different healthcare requirements. These findings can inform and optimize the specific treatment pathways that address the physical and psychological healthcare needs of such patients over time.

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“…Moreover, the Gustilo and Anderson classification is never referred to. 17 The use of this classification is encouraged in order to show the reader a more precise portrait of fracture gravity and infectious risk. Further studies are needed to verify these important elements.…”

Section: Discussionmentioning

confidence: 99%

Orthopedic Injuries and Their Treatment in Children During Earthquakes: A Systematic Review

Morelli

Sabbadini

Bortolin

2015

Prehosp. Disaster med.

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Orthopedic injuries commonly affect children during earthquakes, but reports about them are rare. This setting may lead to different standards of care, but guidelines are still missing in this field. A systematic review was performed to: (1) assess type and body distribution of pediatric earthquake-related injuries, treatment performed, length of stay, and complications; and (2) identify starting points to define standards of care. PubMed database was researched for papers (1999-2014 period) in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Inclusion criteria were: English, French, Spanish, or Italian language and data reported about orthopedic lesions in children (≤18 years old). Reviews, letters, commentaries, editorials, and single case reports were excluded. Two independent reviewers selected articles after abstract and full-text reading. Traumatic injuries caused child hospital admissions ranging from 46.9% to 100.0%; 16% to 53% suffered fractures. Lower limbs mostly were involved. Soft-tissue injuries affected 55% of patients. Debridement and external fixation (EF) were the most frequent surgical treatments. Amputation rates varied from 5% to 11%. This study revealed that field hospitals should be prepared to: (1) treat mainly lower extremities fractures in children; and (2) use especially EF techniques. The presence of orthopedic surgeons familiar with pediatric traumatology should be considered.

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Gustilo-Anderson Classification

Cited by 250 publications

References 27 publications

Dynamic condylar screw versus supacondylar nail in the management of supracondylar fracture distal femur

Dynamic condylar screw versus supacondylar nail in the management of supracondylar fracture distal femur

A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage

Orthopedic Injuries and Their Treatment in Children During Earthquakes: A Systematic Review

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