Score: Gustilo classification
Use: Open tibial fractures
Type I
Clean wound smaller < 1 cm in diameter, simple fracture pattern, no skin crushing
Type II
Laceration > 1 cm but without significant soft tissue crushing, including no flaps, degloving or contusion. Fracture pattern may be more complex.
Type III
Open segmental fracture or single fracture with extensive soft tissue injury.
IIIA: adequate soft tissue coverage of the fracture, despite high energy trauma or extensive laceration or skin flaps
IIIB: inadequate soft tissue coverage with periosteal stripping. Soft tissue reconstruction is necessary.
IIIC: any open fracture that is associated with an arterial injury that requires repair
Reference
Classification and Diagnosis in Orthopaedic Trauma. Editors: Rahij Anwar, Kenneth W. R. Tuson, Shah Alam Khan. Cambridge University Press, 2008