According to the Gustilo and Anderson classification, an open tibial fracture with extensive soft tissue loss requiring a flap for coverage, but without vascular injury needing repair, is classified as:
- A Type IIIB ✓
- B Type IIIA
- C Type IIIC
- D Type II
Correct answer: A. Type IIIB
Explanation
Type III open fractures have extensive soft tissue damage. Type IIIA has adequate soft tissue coverage despite lacerations or flaps, IIIB requires a soft tissue reconstruction such as a flap or graft for coverage, and IIIC denotes any open fracture with an arterial injury requiring repair. Type II wounds are under 1 cm with minimal contamination and no soft tissue loss.
Reference: Rockwood and Green's Fractures in Adults, 9th ed.
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Written and medically reviewed by the StethoPrep medical team.