Descreva o achado como no laudo. A resposta aponta uma das categorias publicadas, com a probabilidade e o trecho que a decide.
Categorias
Reescritas a partir da fonte e citadas
I
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Type I
Low-energy open fracture with a clean wound under 1 cm and minimal soft-tissue damage.
CondutaGram-positive coverage (e.g. cefazolin or cefuroxime) plus irrigation and debridement.
verificadoOpen Fracture Management (StatPearls)StatPearls 'Open Fracture Management' (NBK448083), classification/wound-examination text: type I = low energy, wound <1 cm, minimal soft-tissue damage; gram-positive antibiotic coverage.
II
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Type II
Low-to-moderate energy open fracture with a wound greater than 1 cm and moderate soft-tissue and muscle damage.
CondutaGram-positive antibiotic coverage, as for type I, with irrigation and debridement.
verificadoOpen Fracture Management (StatPearls)StatPearls NBK448083, classification text: type II = low-to-moderate energy, wound >1 cm, moderate soft-tissue/muscle damage; gram-positive coverage.
IIIA
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Type IIIA
High-energy open fracture with a wound usually greater than 10 cm or severe crushing soft-tissue damage, but with adequate soft-tissue coverage of the exposed bone.
CondutaAdd gram-negative coverage (e.g. an aminoglycoside such as gentamicin) to gram-positive coverage; high-dose penicillin if fecal/clostridial contamination is suspected.
verificadoOpen Fracture Management (StatPearls)StatPearls NBK448083: type III = high-velocity, wounds >10 cm; IIIA severe crushing soft-tissue damage; type III antibiotics add gram-negative (aminoglycoside) and penicillin for contamination.
IIIB
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Type IIIB
High-energy open fracture with significant loss of soft-tissue coverage and periosteal stripping, leaving exposed bone that requires a soft-tissue flap for coverage.
CondutaGram-positive plus gram-negative coverage with irrigation/debridement; soft-tissue flap reconstruction for coverage.
verificadoOpen Fracture Management (StatPearls)StatPearls NBK448083: IIIB = significant loss of tissue coverage requiring a flap; type III combined gram-positive and gram-negative antibiotic regimen.
IIIC
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Type IIIC
Open fracture with an associated arterial injury requiring repair, regardless of wound size.
CondutaGram-positive plus gram-negative coverage and urgent vascular repair.
RiscoBy definition involves an arterial injury requiring repair, carrying the greatest limb-loss/amputation risk among the grades.
verificadoOpen Fracture Management (StatPearls)StatPearls NBK448083: IIIC = significant soft-tissue injury with vascular injury requiring repair; type III antibiotic regimen.