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[1] [2] [3] This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a higher degree of energy involved in the injury, higher soft tissue and bone damage and higher potential for complications.
Fr. C 0 - No or minor soft-tissue injury from a simple fracture due to indirect trauma I Fr. O 1 - Skin lacerated by bone fragment. No or minimal contusion to the skin Fr. C 1 - Superficial contusion or abrasion to the skin II Fr. O 2 - Skin laceration with circumferential skin or soft-tissue contusion and moderate contamination
Open fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Usually associated with massive contamination. [14] [15] Will often need further soft-tissue coverage procedure (i.e. free or rotational flap) IIIC: Open fracture associated with an arterial injury requiring repair, irrespective of degree of soft-tissue injury.
A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function. [1]
The Abbreviated Injury Scale (AIS) is an anatomical-based coding system created by the Association for the Advancement of Automotive Medicine to classify and describe the severity of injuries. [1] [2] [3] It represents the threat to life associated with the injury rather than the comprehensive assessment of the severity of the injury. [4]
The Injury Severity Score (ISS) is an established medical score to assess trauma severity. [1] [2] It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. [2]