Regarding Gustilo-Anderson classification of open fractures, a tibial fracture with a 4 cm wound, moderate soft-tissue damage, and no periosteal stripping but with adequate soft-tissue cover is classified as:
- A Grade I
- B Grade II
- C Grade IIIA ✓
- D Grade IIIB
Correct answer: C. Grade IIIA
Explanation
Gustilo IIIA indicates a high-energy open fracture with a wound >10 cm (or any size with extensive soft-tissue damage) that still has adequate soft-tissue coverage of the bone despite the wound size. Grade II has a 1–10 cm wound with moderate soft-tissue damage and no periosteal stripping. IIIB involves periosteal stripping requiring local or free flap coverage; IIIC involves arterial injury requiring repair.
Reference: Maheshwari Essential Orthopaedics, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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