In Gustilo-Anderson open fracture classification, which type mandates IMMEDIATE plastic surgery consultation for soft tissue coverage within 72 hours to prevent osteomyelitis?

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

Explanation

Gustilo Type IIIB open fractures feature extensive periosteal stripping with inadequate soft-tissue cover requiring plastic surgery reconstruction (local flap, free flap). Immediate coverage within 72 hours reduces osteomyelitis rates from >50% to <10%. Type IIIA has adequate soft-tissue coverage despite high energy. Type IIIC involves arterial injury requiring vascular repair. Type I and II have smaller wounds manageable with primary closure or delayed primary closure.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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