Orthopedics · Fractures (Basics, Complications, Healing, Principles of Management)

The AO/OTA classification of fractures uses three hierarchical alphanumeric levels. Which level indicates the fracture 'type' based on morphology?

  • A First level (bone segment number)
  • B Third level (subgroup number 1-3)
  • C Second level (letter A, B, or C)
  • D Fourth level (qualifier)
Correct answer: C. Second level (letter A, B, or C)

Explanation

In the AO/OTA classification, the first level identifies the bone and segment (e.g., 42 = tibia, diaphysis). The second level uses letters A, B, or C to denote fracture 'type' (A = simple, B = wedge/partial articular, C = complex/complete articular). The third level (numbers 1–3) denotes the 'group' within each type, further specifying morphology. This hierarchical structure guides prognosis and surgical planning.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

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