Review
doi: 10.1097/OI9.0000000000000318.
eCollection 2024 Jun.
Classification of open tibia fractures: the rationale for a new classification system
Affiliations
- PMID: 38840710
- PMCID: PMC11149748
- DOI: 10.1097/OI9.0000000000000318
Item in Clipboard
Review
Classification of open tibia fractures: the rationale for a new classification system
OTA Int.
.
Abstract
Open tibial shaft fractures are one of the most common long bone injuries encountered. Current existing classifications are designed to characterize the nature of the injury and guide clinical decision making. However, despite these advancements, there are areas in our current classification system that can be improved to not only make reliability more producible but also create prognostic factors that can help guide treatment.
Keywords: fracture classification; open fracture; tibial shaft fracture.
Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.
Similar articles
-
Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures.J Orthop Trauma. 2014 Feb;28(2):103-7. doi: 10.1097/BOT.0b013e31829e71ef. J Orthop Trauma. 2014. PMID: 23760178 Free PMC article.
-
[External fixation in the treatment of open tibial shaft fractures].Vojnosanit Pregl. 2008 May;65(5):343-8. doi: 10.2298/vsp0805343g. Vojnosanit Pregl. 2008. PMID: 18630126 Serbian.
-
Tibial Shaft and Pilon Fractures With Associated Syndesmotic Injury: A Matched Cohort Assessment.J Orthop Trauma. 2022 Mar 1;36(3):157-162. doi: 10.1097/BOT.0000000000002252. J Orthop Trauma. 2022. PMID: 34456310
-
Operative Fixation Versus Cast Immobilization: Tibial Shaft Fractures in Adolescents.J Pediatr Orthop. 2021 Jul 1;41(Suppl 1):S33-S38. doi: 10.1097/BPO.0000000000001806. J Pediatr Orthop. 2021. PMID: 34096535 Review.
-
Open tibial shaft fracture fixation strategies: intramedullary nailing, external fixation, and plating.OTA Int. 2024 Jun 5;7(4 Suppl):e316. doi: 10.1097/OI9.0000000000000316. eCollection 2024 Jun. OTA Int. 2024. PMID: 38840705 Free PMC article. Review.
Cited by
-
Letter to the editor: "Classification of open tibia fractures: the rationale for a new classification system".OTA Int. 2025 Jun 26;8(3):e405. doi: 10.1097/OI9.0000000000000405. eCollection 2025 Sep. OTA Int. 2025. PMID: 40575666 Free PMC article. No abstract available.
-
Epidemiological Profile of Patients With Tibial Fractures Treated With the Ilizarov External Fixator.Cureus. 2025 Jul 8;17(7):e87508. doi: 10.7759/cureus.87508. eCollection 2025 Jul. Cureus. 2025. PMID: 40777687 Free PMC article.
-
Response to Letter to the Editor Regarding Classification of Open Tibia Fractures: The Rationale for a New Classification System.OTA Int. 2025 Jun 26;8(3):e406. doi: 10.1097/OI9.0000000000000406. eCollection 2025 Sep. OTA Int. 2025. PMID: 40575665 Free PMC article. No abstract available.
References
-
- Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37:691–697. - PubMed
-
- Court-Brown CM, Bugler KE, Clement ND, et al. . The epidemiology of open fractures in adults. A 15-year review. Injury. 2012;43:891–897. - PubMed
-
- Garbuz DS, Masri BA, Esdaile J, et al. . Classification systems in orthopaedics. J Am Acad Orthop Surg. 2002;10:290–297. - PubMed
-
- Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453–458. - PubMed
-
- Castillo IA, Heiner JA, Meremikwu RI, et al. . Where are we in 2022? A summary of 11,000 open tibia fractures over 4 decades. J Orthop Trauma. 2023;37:e326–e334. - PubMed
Publication types
LinkOut - more resources
Full Text Sources