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Gustilo-Anderson sorts open fractures by wound size and the extent of soft tissue damage: Type I — clean wound under 1 cm, minimal soft tissue damage, low-energy mechanism Type II — wound 1 to 10 cm, moderate soft tissue damage, no flap required Type IIIA — wound over 10 cm with extensive damage, but adequate soft tissue coverage Type IIIB — extensive soft tissue damage with periosteal stripping, soft tissue flap required Type IIIC — open fracture with an arterial injury that requires repair ICD-10-CM does not give each type III subtype its own letter
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