What is a Grade 3B fracture?
Grade IIIB fractures have significant soft-tissue damage or loss, such that bone is exposed, and reconstruction may require a soft-tissue transfer (flap) to be performed in order to cover the wound.
What is a Type III fracture?
A type III fracture (see the images below) is a fracture through the physis and epiphysis. This fracture passes through the hypertrophic layer of the physis and extends to split the epiphysis, inevitably damaging the reproductive layer of the physis.
What is a Gustilo Anderson fracture?
The Gustilo Anderson classification, also known as the Gustilo classification, is the most widely accepted classification system of open (or compound) fractures. The grading system is used to guide management of compound fractures, with higher grade injuries associated with higher risk of complications.
What is a Grade 3 open fracture?
Type III: an open segmental fracture or a single fracture with extensive soft-tissue injury. Also included are injuries older than eight hours. Type III injuries are subdivided into three types: Type IIIA: adequate soft-tissue coverage of the fracture despite high-energy trauma or extensive laceration or skin flaps.
What is green stick fracture?
A greenstick fracture occurs when a bone bends and cracks, instead of breaking completely into separate pieces. The fracture looks similar to what happens when you try to break a small, “green” branch on a tree. Most greenstick fractures occur in children younger than 10 years of age.
How do you know when a fracture is healed?
When you touch the fractured area, the pain will lessen as the fracture gets more solid. So, one way to tell if the broken bone is healed is for the doctor to examine you – if the bone doesn’t hurt when he touches it, and it’s been about six weeks since you broke it, the bone is most likely healed.
How are open fractures classified using Gustilo and Anderson classification system?
They categorized open injuries into the familiar three categories, based on wound size, level of contamination, and osseous injury, as follows: Type I = an open fracture with a wound less than 1 cm long and clean; Type II = an open fracture with a laceration greater than 1 cm long without extensive soft tissue damage.
Does a green stick fracture need a cast?
Even mild greenstick fractures are usually immobilized in a cast. In addition to holding the cracked pieces of the bone together so they can heal, a cast can help prevent the bone from breaking all the way through if the child falls on it again.