In Gustilo–Anderson classification of open fractures, which grade is characterised by adequate soft tissue coverage of the bone despite extensive soft tissue laceration, with a wound >10 cm?

• A Grade IIIA ✓
• B Grade I
• C Grade II
• D Grade IIIB

Explanation

Gustilo–Anderson classification: Grade I (<1 cm wound, minimal contamination, simple fracture pattern); Grade II (1–10 cm wound, moderate contamination, no extensive periosteal stripping); Grade IIIA (>10 cm wound, high energy, extensive soft tissue damage but adequate bone coverage possible after debridement — no vascular repair needed); Grade IIIB (extensive soft tissue loss, periosteal stripping, bone exposed, requires local or free flap coverage); Grade IIIC (vascular injury requiring repair). Grade IIIA carries better prognosis than IIIB/C despite the extensive wound.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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