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Introduction Open fractures have a wound in continuity with the fracture, providing the opportunity for organisms to enter, thus all open fractures carry the risk of infection. The Gustilo-Anderson classification is the most commonly used。

The Gustilo open fracture classification system is the most commonly used classification system for open fractures. It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams. This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a hi…

Gustilo-Anderson type 3 open fractures remain a veritable orthopedic challenge, even for surgeons with greater experience, because of neurovascular damages, high。

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