orthopaedic classifications

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Orthopaedic Classifications Summary

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Page 1: Orthopaedic Classifications

GUSTILLO CLASSIFICATION FOR OPEN FRACTURESClass Size of Wound Contamination Soft Tissue Injury TreatmentI < 1 cm Mild Mild 1st Gen CephII > 1 cm, < 10 cm Moderate Moderate 1st Gen Ceph +

GentaIII A > 10 cm Extensive Extensive Enough flap to

cover wound1st Gen Ceph +Genta + Pen

B Periosteal strippingand NOT enoughflap to coverwound

C VascularCompromise

NEER CLASSIFICATION FOR HUMERAL HEAD FRACTURESClass Description

1 # of GT or LT or Humeral Head or Shaft; displaced > 1 cm or angulated > 45o`2 as above of 2 of the parts specified3 as above of 3 of the parts specified4 as above of 4 of the parts specified

TILE CLASSIFICATION FOR PELVIC FRACTURESClass Stability DescriptionA 1 Stable does not involve pelvic ring

2 involves minimal displacement of pelvic ringB 1 Rotationally

Unstableopen book

2 ipsilateral lateral compression3 contralateral lateral compression

C 1 Rotationally andVerticallyUnstsable

unilateral2 bilateral3 a/w acetabular #

GARDEN CLASSIFICATION FOR FEMORAL NECK FRACTURESClass Completeness Alignment

1 Incomplete vaLgus Impacted2 Complete Neutal3 Complete vaRus Impacted4 Complete Displaced

SHATZKER CLASSIFICATION FOR TIBIAL PLATEAU FRACTURESClass DescriptionI Split # of Lateral PlateauII Split + Depression # of Lateral PlateauIII Depression # of Lateral PlateauIV Split # Medial PlateauV Split # Medial and Lateral PlateauVI Split # Medial and Lateral Plateau and Metaphysis/Diaphysis

WEBER CLASSIFICATION FOR ANKLE FRACTURESClass Description MOI Stable RxA Below Syndesmosis Inversion Yes CastB At Syndesmosis External Rotation + Eversion No ORIFC Above Syndesmosis Eversion No ORIF

SALTER-HARRIS CLASSIFICATION FOR FRACTURES OF EPIPHYSISClass DescriptionI Through Growth PlateII Along Growth Plate + Through MetaphysisIII Along Growth Plate + Through EpiphysisIV Through Epiphysis and MetaphysisV Crush Injury