classification

Last reviewed 01/2018

The classification of tibia and fibula fractures emphasizes different characteristics of the injury:

  • classification according to soft tissue injury:
    • C0: minor tissue damage with a simple fracture
    • C1: superficial abrasion or contusion with a simple fracture
    • C2: deep abrasions, contusion, swelling with severe fracture
    • C3: extensive soft tissue damage

  • Gustilo grading for open fractures:

    • type I:
      • simple fracture
      • tiny break in the skin

    • type II:
      • moderate fracture
      • break in the skin less than 1 cm

    • type III:
      • severe fracture
      • extensive soft tissue injury
      • wound contamination
      • IIIA has sufficient skin coverage
      • IIIB has skin loss
      • IIIC has arterial damage