Problems in the management of type III (severe) open fractures: a new classification of type III open fractures.

  title={Problems in the management of type III (severe) open fractures: a new classification of type III open fractures.},
  author={Ramon B. Gustilo and R M Mendoza and D. N. Williams},
  journal={The Journal of trauma},
  volume={24 8},
Between 1976-1979, 87 Type III open fractures (in 75 patients) were treated at the Hennepin County Medical Center. Factors leading to increased morbidity in Type III fractures were: massive soft-tissue damage; compromised vascularity; severe wound contamination; and marked fracture instability. This study demonstrates, because of varied severity and prognosis, that the current designation of Type III open fracture is too inclusive. We recommend, therefore, that Type III open fractures be… 
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