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Abstract

Open fracture classification has traditionally used a modified Gustilo Classification (GOFC). There are many recognized problems with the Gustilo classification. The Orthopaedic Trauma Association (OTA) produced an open fracture Classification (OTA OFC) in 2010 to overcome problems with GOFC. However, it has not been widely adapted, partially because there are too many categories. The OTA OFC has proven to be more effective in identifying particular parameters that affect outcome and treatment for open fractures than GOFC. Numerous authors have called for a reconciliation of the two classifications. The OTA Classification Committee has proposed a modification called the OTA OFC3, which utilizes the three well-known categories of the GOFC (Types I, II, III) to facilitate communication of results. The OTA OFC3 represents an effective reconciliation of the two classification schemes and provides a useful, clinically relevant classification into three Types with additional specificity available when desired. The authors recommend adoption of the new OTA OFC3 in daily clinical practice as well as research and communication.

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