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Fracture Classifications - Orthopaedic Trauma Association ...

CoreCurriculumV5 Fracture ClassificationsJaclyn M. Jankowski, DOJersey City Medical Center-RWJB arnabas HealthAll images belong to Jaclyn Jankowski, DO unless otherwise indicatedCoreCurriculumV5 Objectives To understand the need for classification systems To understand the evolution of classification systems To look at the importance of soft tissue injury associated with fracturesCoreCurriculumV5 Why do we have Classifications ? Organize knowledge Transfer information Guide treatment Estimate prognosis Enhance education and communicationCoreCurriculumV5 History of Classification Systems Ancient Egypt The Edwin Smith Papyrus classified injuries as: An ailment which I will treat An ailment with which I will contend An ailment not to be treated CoreCurriculumV5 History of Classification Systems 18thand 19thCentury-Descriptive Classifications based on appearance of limbCCO Dinner Fork Deformity CoreCurriculumV5 History of Classification Systems 20thCentury The advent of radiographs created numerous classification systems Brought about the ability to identify location, amount, and displacement of Fracture lines Not without problems as radiographic views and quality can be inconsistentCoreCurriculumV5 History of Classification Systems The last 40 Years CT has allowed for further understanding and classification of intra-articula

Images courtesy of Frank Liporace, MD. Core Curriculum V5 Garden Classification Pros-Determining displaced vs nondisplaced is critical for dictating management-Classification has highest inter - ... • Compared AO, Gustilo -Anderson, Tscherne, and Winquist -Hansen

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