Open Fracture Classification, Puncture
Wounds, and Foreign Bodies Exam Questions
And Answers Latest Update
What are the five (5) Podiatric Surgical Emergencies? -
correct answer ✅1. Infection with emphysema (gas gangrene).
*2. Open fracture/dislocation*
3. Compartment syndrome.
4. Necrotizing fasciitis.
5. General Neurovascular compromise.
Less than 100 years ago, open fractures were considered a... -
correct answer ✅"lethal" injury.
A significant percentage of lower extremity open fractures are
associated with... -
correct answer ✅polytrauma.
An open fracture implies? -
correct answer ✅∙significant injury to bone and soft tissue.
∙other associated injury.
∙contamination.
,Traumatology: Podiatric Trauma Surgery→
Open Fracture Classification, Puncture
Wounds, and Foreign Bodies Exam Questions
And Answers Latest Update
Bone is *extremely* sensitive to? -
correct answer ✅*infection and healing potential* compared to
other tissues.
Open fracture definition? -
correct answer ✅A osseous fragment that communicates with the
external environment.
Trauma from within: -
correct answer ✅A fracture that communicates with the external
environment. The bone pokes out of the skin.
Trauma from without: -
correct answer ✅∙An external environment that communicates
with a fracture. Outside caused bone to be exposed.
∙A large tissue deficit in the general area of a fracture.
Gustilo-Anderson Classification Open Fracture: Type I -
correct answer ✅∙Clean Wound <1cm in diameter
∙Antibiotic of choice: 1st generation cephalosporin (Ancef).
, Traumatology: Podiatric Trauma Surgery→
Open Fracture Classification, Puncture
Wounds, and Foreign Bodies Exam Questions
And Answers Latest Update
∙More so trauma from within.
∙Worrisome because they get missed a lot.
∙Don't have to physically see bone to be a type I.
Gustilo-Anderson Classification Open Fracture: Type II -
correct answer ✅∙Wound 1.0-5.0cm in diameter with soft tissue
damage
∙Antibiotic of choice: Ancef and Aminoglycoside
∙"Step-up" coverage
Gustilo-Anderson Classification Open Fracture Type III -
correct answer ✅∙Wound >5cm in diameter with extensive soft
tissue damage
-Antibiotic of choice: Ancef (or high-dose PCN), Clinda, and
Aminoglycoside.
Gustilo-Anderson Classification Open Fracture Type IIIA: -
correct answer ✅∙Adequate soft tissue coverage.