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1Classification of open fractures

Stanley Boyd

Introduction

In 1895, Stanley Boyd said “The most important divisions of fractures - simple, compound and complicated - are based upon the condition of the soft parts.”

There is no doubt that the status of the soft-tissue wounding in open fractures is a crucial determinant of the outcome.
Most research shows that the infection rate increases with the severity of the soft-tissue injury. Less important is the bony injury, provided that the bone that has been injured has a blood supply.