Open Fracture — Gustilo Classification

Regarding Gustilo Type III open fractures, all of the following are true EXCEPT:

A 32-year-old male presents to the emergency department 2 hours after a motorcycle accident with a compound fracture of the right tibia. The wound is 3 cm long with minimal contamination, and the fracture is simple. On examination, there is no vascular compromise or nerve injury. Which investigation is most appropriate to confirm the Gustilo classification and assess fracture geometry before surgical planning?

A 28-year-old man sustains a crush injury to his right leg in a motor vehicle accident. On examination, there is a 3 cm laceration over the fracture site with bone ends visible, minimal contamination, and the fracture is comminuted. Soft tissue damage is moderate. According to the Gustilo classification, what is the grade of this open fracture?

A 35-year-old farmer from rural Maharashtra presents 6 hours after a penetrating injury to his left leg caused by a rusty farm implement. On examination, there is a 2 cm punctate wound over the medial tibial shaft with minimal external bleeding. Probing reveals the wound tract extends deep into the muscle. Plain radiographs show a simple tibial fracture with no comminution. The limb is neurovascularly intact. Which Gustilo type best describes this injury, and what is the most appropriate next step?

A 32-year-old male presents to the emergency department following a motorcycle accident with a compound fracture of the tibia. The wound is 1.5 cm in length with minimal contamination, no vascular injury, and soft tissue damage limited to the skin and subcutaneous tissue. All of the following statements regarding Gustilo classification are correct EXCEPT: