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Extremity trauma
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
There are several classification systems for soft tissue injuries, the Tscherne classification for closed injuries, the Gustilo and Anderson for open injuries (Table28.2) and the Ganga classification of severe open injuries.
Tibial shaft and plafond
Published in Sebastian Dawson-Bowling, Pramod Achan, Timothy Briggs, Manoj Ramachandran, Stephen Key, Daud Chou, Orthopaedic Trauma, 2014
It has been shown that the incidence of both wound infection and non-union increases with increasing grade of this system. Soft tissue injuries can also be assessed and graded using the Tscherne classification of soft tissue injury.
Bones, joints, muscles and tendons
Published in Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse, Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse
Soft tissue swelling and injury must be assessed. This should be graded by the Tscherne classification:Grade 0: negligible soft tissue injury.Grade I: superficial abrasion or contusion of the soft tissues overlying the fracture.Grade II: significant contusion of the muscle with contaminated skin abrasions or both. The bone injury is usually severe.Grade III: significant injury to the soft tissues with significant degloving, crushing, compartment syndrome or vascular injury.
Degree of Soft Tissue Injury is a Major Determinant of Successful Arterial Repair in the Extremity: A New Classification of Extremity Arterial Injury?
Published in Journal of Investigative Surgery, 2022
Peijun Deng, Jiantao Yang, Jacques Henri Hacquebord, Bengang Qin, Honggang Wang, Ping Li, Liqiang Gu, Jian Qi, Qingtang Zhu
Vascular injury is classified into 5 types: 1) intimal injury, 2) complete wall defect, 3) complete transection, 4) arteriovenous fistula, 5) spasm [1]. Although not specific to extremity arterial injury, this classification system is effective in guiding vascular repair methods when the surrounding soft tissue is stable and healthy [10–12]. However, when extremity arterial injury is associated with soft tissue injury, vascular repair techniques are complex [1, 6]. A variety of vascular repair methods can be used to treat extremity arterial injury, including direct vessel suture, autogenous or artificial vessel graft, and endovascular repair [13]. Uncommon but previously described techniques include flow-through flap transplantation and temporary ectopic implantation [14, 15]. There are several classifications of soft tissue injury, including the Tscherne Classification of Soft Tissue [16], AO Soft Tissue Grading System, and Ganga Hospital Open Injury Score [17]. However, these do not specifically apply to extremity arterial injury or guide treatment.