Description
In this presentation, Alex Trompeter discusses the complexities and challenges of open fracture classifications, particularly focusing on tibial trauma. He emphasizes the high complication rates associated with open fractures and the significant burden on patients throughout their recovery journey. Trompeter critiques the existing classification systems, like the Gustilo-Anderson system, for being too subjective, overly reliant on infection rates, and failing to account for the patient's overall experience and outcomes. He proposes a new classification system that categorizes open fractures into two primary groups: simple fractures and complex fractures. This new system aims to provide clarity and objectivity by focusing on factors such as the patient's journey and resource consumption rather than ambiguous descriptors like "high energy" trauma or wound size. Trompeter supports his argument with data indicating that the new classification system correlates better with patient outcomes and healthcare costs, and he advocates for its adoption in clinical practice.
DOI: 10.1302/3114-250979