A 12-year-old boy is brought in by ambulance to the emergency department after being involved in an accident while participating in a BMX race. The boy has an open fracture of his tibia
The wound is highly contaminated and there is extensive soft tissue damage. What grade fracture would this be considered?
A) Grade I
B) Grade II
C) Grade III
D) Grade IV
Ans: D
Feedback: Open fractures are graded according to the following criteria. Grade I is a clean wound less than 1 cm long. Grade II is a larger wound without extensive soft tissue damage. Grade III is highly contaminated, has extensive soft tissue damage, and is the most severe. There is no grade IV fracture.
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