Table 1.

Gustilo and Anderson Classification of Open Fractures

Grade	Criteria
I	Open fracture, minimal contamination, comminution and soft tissue damage, wound <1 cm in length.
II	Open fracture, moderate contamination, comminution and soft tissue damage, wound >1 cm in length.
III	Open fracture extensive contamination, comminution and soft tissue damage.
IIIA	Type III fracture with adequate periosteal coverage of the fracture bone despite the extensive soft-tissue laceration or damage.
IIIB	Type III fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Will need further soft-tissue coverage procedure.
IIIC	Type III fracture associated with an arterial injury-requiring repair, irrespective of degree of soft-tissue injury.