![]() For the initial treatment, certain investigations are carried out to assess the location and the severity of the injury this is generally done by using the X-Ray technique. The treatment generally focuses on sealing the fracture with prevention of development and spreading of infection. The treatment of compound fracture or open fracture is a complicated process. The amount of soft tissue damage, bone exposure and the level of contamination are between 25 to 50%. Grade IIIC: This fracture results in severe vascular injury which needs a repair else it may lead to permanent deformity and impaired functioning of the affected region.The amount of soft tissue damage and bone exposure as well as the level of contamination is between 10 to 50%. Grade IIIB: In this type of fracture, the outer membrane of the bones as well as the soft tissue coverage gets damaged severely which renders soft tissue reconstruction as a necessity.The amount of soft tissue damage and level of contamination is around only 7%. Grade IIIA: In this type of fracture, there exists sufficient coverage of the underlying soft tissue.Depending on the severity, the grade III type fractures has three more sub-types which are: The level of wound contamination is also high in such types of fractures. The wound is generally caused by high velocity injuries that lead to severe crushing of the skin as well as the underlying tissues. Grade III type: The severity level of the wound in case of grade III type fractures can range from moderate to massive.There exists a moderate level of contamination within the wound and the fracture pattern is more complex compared to the grade I type. The wound does not constitute any degloving injury, skin flapping or contusion. Grade II type: For Grade II types, the wound size is larger than 1 cm with moderate injury to the soft-tissue.Minimal level of contamination in the wound.The fracture pattern appears to be simple.The skin of the wounded area shows no sign of crushing.The typical features for this kind of fracture are: Grade I type: In case of Grade I type of compound fracture, the wound size is around 1 cm or smaller.The compound fractures are classified into three categories based on the severity of the fractures.
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