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Classification system for open fracture and related infection rates

Classification system for open fracture and related infection rates
Fracture type Definition Historical infection rates (percentage)
I Wound <1 cm; minimal contamination, comminution and soft-tissue damage 0-2
II Wound >1 cm; moderate soft-tissue damage, minimal periosteal stripping 2-5
III Severe soft-tissue damage and substantial contamination; coverage adequate 5-10
IV Severe soft-tissue damage and substantial contamination; coverage inadequate 10-50
V Arterial injury requiring repair 25-50
Reproduced with permission from: Okike K, Bhattacharyya T. Trends in the management of open fractures. A critical analysis. J Bone Joint Surg Am 2006; 88:2739. Copyright © 2006 Journal of Bone and Joint Surgery, Inc.
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