most native classification we will start in , gustilo classification for open fractures
type i : open fracture with skin wound <1cm in length and clean
type ii : open fracture with skin wound >1cm in length without extensive soft tissue damage , flaps , avulsiona
type iii: open segmental fracture with >10cm wound with extensive soft tissue injury or traumatic amputation (special categories in type iii include gunshot fractures and open fractures cause by farm injury)
type iiia : adequate tissue covering
type iiib : significant soft tissue loss , with exposed bone that requires soft tissue transfer to achieve coverage
type iiic : associated vascular injury that requires repair for limb preservation (any vascular injury regardless its size consider as type iiic )
