Gustilo classification Flashcards
(8 cards)
Type 1
Wound <1cm
Minimal contamination or muscle damage
Type 2
Wound 1-10cm
Moderate soft tissue damage
Type 3A
Wound usually >10cm
Extensive soft tissue damage
Contaminated (any farm injury a 3A)
Flap coverage
Type 3B
Wound usually >10cm
Extensive soft tissue damage and periosteal stripping
Requires free tissue flap or rotational flap coverage
Type 3C
Wound usually >10cm
Extensive soft tissue damage and periosteal stripping
Requires free tissue flap coverage
Arterial damage that requires repair
When do you need tetanus prophylaxis
If no tetanus booster in last 5 years
What is tetanus prophylaxis
TIG
Tetanus immunoglobulin
MoA of tetanus toxin
Blocks neurotransmitter release from spinal inhibitory interneurones