Friday, February 11, 2022

fracture classifications

Common classifications used during orthopedic posting. 




In a glance:

Gustilo classification: open fracture

Gartland classification - supracondylar humerus fracture

Mason classification: radial head

Schatzker classification: radial head

Monteggia fracture dislocation: radial head dislocation

Galleazi fracture classification: distal radius

Salter-harris fracture: epiphyseal disk (growth plate) fracture

Garden classification: femural neck

Winquist fracture: femur shaft fracture

Evan's classification : intertrochanteric fracture

Danis Weber classification: ankle joint 

colles fracture

distal radial fracture

DFU classification (Wagner)


Management principles that we use commonly

  • 4R: resus, reduce, retain, rehab
  • Principle of open fracture:
    • antibiotic - empirical - 6wks
      • unasyn : for DM 
      • cloxacillin :
      • c. penicillin :
      • tazocin :
    • wound irrigation and debridement
    • stabilization - or immobilization : external fixation/ skeletal traction
    • wound closure - dressing, 2ndary wound closure 
  • complication:
    • mal union
    • nonunion
    • OM
    • infected non union
  • closed fracture
    • internal fixation
    • pop
  • indication of External Fixation
    • open fracture
    • infected non union
    • bone lengthening
    • open book fracture
    • comminuted, intraarticular fracture esp eadius
    • joint fusion (knee)


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