1.Open fracture (Gustillo Anderson)
grade 1 wound size less than 1cm <6hours minimal soft tissue injury
grade 11 1 – 10cm >8hours moderate
grade 111 >10cm >8hours severe
A Adequate soft tissue cover
B Inadequate
C Vascular injury require repair

2.Physeal injury (Salter Harris)
type 1 epiphyses and growth plate
type 11 epiphyses and growth plate + part of metaphysis
type 111 part of epiphysis and growth plate
type 1V part of epiphysis, growth plate and metaphysis
type V crush injury (crumple of growth plate)

3.Fracture neck of femur (Garden)
grade 1 incomplete #
grade 11 complete #, undisplaced
grade 111 complete #, partially displaced
grade 1V complete # and totally displaced

4.Diabetic foot (Wegener)
grade 0 foot at risk, sensory neuropathy
grade 1 sup ulcer
grade 11 deep ulcer
grade 111 osteomyelitis (bony changes)
grade 1V local gangrene
grade V foot gangrene

5. Ankle fracture (Weber)
A # of fibula below syndesmosis
B # of fibula at the level of syndesmosis
C above the level of syndesmosis

6.MSK Tumor (Enneking)
stage 1(intra compartmental)
A low grade
B high grade
stage 11(extra compartmental)
A low grade tumour
B high grade
stage 111(distant metastasis)

7.Spine fracture (Dennis)
There are 3 columns:
Anterior
Middle
Posterior
Involvement of more than one column is unstable
Instability - pain
- deformity
- neurology deficit

Labels: Orthopaedic notes