Which open fracture classification system currently used (Gustilo-Anderson classification or the Orthopaedic Trauma Association’s open fracture classifi cation (OTA-OFC)) is preferred, based on interobserver reproducibility and predictiveness of outcomes?

Which open fracture classification system currently used (Gustilo-Anderson classification or the Orthopaedic Trauma Association’s open fracture classifi cation (OTA-OFC)) is preferred, based on interobserver reproducibility and predictiveness of outcomes?

Authors: Andres Pinzon, Kenneth Egol

RECOMMENDATION: OTA-OFC is preferred. Based on currently-available data, the OTA-OFC provides a more robust description of the injury with interobserver agreement that is comparable or superior to the Gustilo-Anderson classifi cation. Additionally, the OTA-OFC, according to its subcategories, may predict outcomes such as the likelihood of early amputation and need for adjuvant treatments.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 95%, Disagree: 0%, Abstain: 5% (Unanimous, Strongest Consensus)

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