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The Evolution and Interpretation of the Gustilo and Anderson Classification.
Yim, Guang H; Hardwicke, Joseph T.
Afiliación
  • Yim GH; Department of Plastic Surgery, Derriford Hospital, Plymouth, United Kingdom.
  • Hardwicke JT; Department of Plastic Surgery, University Hospital Coventry, Coventry, United Kingdom.
J Bone Joint Surg Am ; 100(24): e152, 2018 Dec 19.
Article en En | MEDLINE | ID: mdl-30562299
ABSTRACT

BACKGROUND:

The Gustilo classification is the most established system for classifying open fractures. Despite this, the classification has changed in how it has been described and interpreted. We have traced how this classification has slowly evolved throughout the literature over the past 4 decades.

METHODS:

A systematic search of the literature was undertaken with the MEDLINE, Embase, and PubMed databases to source relevant articles that have evolved the interpretation of the Gustilo classification. The references from these articles were consecutively hand-searched to find other articles that describe the Gustilo classification.

RESULTS:

There was a total of 393 results from the Healthcare Databases Advanced Search (HDAS) 95 from MEDLINE, 49 from Embase, and 249 from PubMed. Fifty-six articles were initially selected; an additional 67 articles were retrieved through reference checking and further checking of relevant articles until no additional relevant articles could be found.

CONCLUSIONS:

The original Gustilo and Anderson classification initially was modified by Gustilo before subtle changes were made to the descriptors in the 1990s. Some authors have used the Gustilo classification to create alternative classifications, but these have not gained traction. Other contemporaneous literature has modified the Gustilo-IIIB subtypes to better stratify functional and reconstructive outcomes following vascular injury. The impact and longevity of such recent modifications are yet to be known.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Abiertas Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: J Bone Joint Surg Am Año: 2018 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Abiertas Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: J Bone Joint Surg Am Año: 2018 Tipo del documento: Article País de afiliación: Reino Unido