You are here

Soft Tissue Injury


Tscherne and Gotzen classification of soft-tissue injury

  • (Tsherne H, Gotzen L: Fractures with Soft Tissue Injuries. Monograph 1-58. Berlin, Springer-Verlag 1984)
  • Type 0=minimal soft-tissue damage resulting from an indirect mechanism of injury that has caused a simple bone fracture.
  • Type 1=superficial abrasion or soft-tissue contusion caused by pressure from the bone injury with a mild to moderately severe fracture pattern.
  • Type 2=deep contaminated abrasion associated with localized skin and muscle contusion, an impending compartment syndrome, and a high-energy fracture pattern.
  • Type 3=extensive skin contusion or crushing, underlying severe muscle damage, a compartment syndrome, and a severe fracture pattern.

Gustilo Classificaiton of open fractures

  • Grade I=minor open fx, <1cm, simple fx patterns
  • Grade II=1-10cm wound, simple fx patterns with minimal periosteal stripping
  • Grade III=severe soft-tissue damage, IIIA can be closed primarily, IIIB require flap, IIIC arterial injury requiring repair.

Open Fractures

  • rate of infection not changed by time to surgery (<6hours vs >7hrs but within 24hrs) in children who receive early antibiotic treatment.  (Skaggs, JBJS Am 2005;87:8)



The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer