Skip to content
Epomedicine
Epomedicine

Mnemonics, Simplified Concepts & Thoughts

  • Medical Students
  • Bedside Clinics
  • Case Reports
  • Emergency Medicine
  • Blog
  • Surgical Skills
  • Medical Mnemonics
Epomedicine

Mnemonics, Simplified Concepts & Thoughts

Open Pelvic fractures – Classification

Epomedicine, May 23, 2020May 23, 2020

Last updated on May 23, 2020

General principles and classification of open fractures have been discussed earlier. The Gustillo-Anderson classification commonly used for the long bone fractures might not be suitable for open pelvic fractures.

Open fractures : Mnemonics

Jones-Powell classification

It is based on the mechanical stability of the pelvic ring and the potential contamination of the open wound.

Class 1 – Stable pelvic ring

Class 2 – Pelvic ring unstable (no rectal or perineal wound)

Class 3 – Pelvic ring unstable (rectal or perineal wound)

Mortality:

Class 1 – 0%
Class 2 – 24%
Class 3 – 38%

Faringer Classification

It correlates the site of the open wound and the need for colostomy.

faringer classification
Hermans, E., Edwards, M.J.R., Goslings, J.C. et al. Open pelvic fracture: the killing fracture?. J Orthop Surg Res 13, 83 (2018). https://doi.org/10.1186/s13018-018-0793-2

Zone I: perineum, anterior pubis, medial buttock, posterior sacrum)

Zone II: medial thigh, groin crease

Zone III: posterolateral buttock, iliac crest

Faringer et.al proposed that:

1. Most patients with zone I injuries should undergo fecal diversion.

2. Patients with deep lacerations over the posterior buttock should also be considered candidates for diversion, particularly when prolonged bed rest or fecal incontinence is anticipated.

3. Patients with zone II wounds into the subcutaneous fat located in the anterior groin crease or the medial thigh may selectively require fecal diversion.

4. Fecal diversion is rarely required for wounds in zone III.

References:

1. Cannada LK, Taylor RM, Reddix R, et al. The Jones-Powell Classification of open pelvic fractures: a multicenter study evaluating mortality rates. J Trauma Acute Care Surg. 2013;74(3):901‐906. doi:10.1097/TA.0b013e3182827496

2. Faringer PD, Mullins RJ, Feliciano PD, et al. Selective fecal diversion in complex open pelvic fractures from blunt trauma. Arch Surg. 1994;129:958–64.

  • Facebook
  • Twitter
Emergency Medicine General SurgeryMusculoskeletal systemOrthopedics

Post navigation

Previous post
Next post

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Epomedicine. Open Pelvic fractures – Classification [Internet]. Epomedicine; 2020 May 23 [cited 2025 May 9]. Available from: https://epomedicine.com/emergency-medicine/open-pelvic-fractures-classification/.

Pre-clinical (Basic Sciences)

Anatomy

Biochemistry

Community medicine (PSM)

Embryology

Microbiology

Pathology

Pharmacology

Physiology

Clinical Sciences

Anesthesia

Dermatology

Emergency medicine

Forensic

Internal medicine

Gynecology & Obstetrics

Oncology

Ophthalmology

Orthopedics

Otorhinolaryngology (ENT)

Pediatrics

Psychiatry

Radiology

Surgery

RSS Ask Epomedicine

  • What to study for Clinical examination in Orthopedics?
  • What is the mechanism of AVNRT?

Epomedicine weekly

  • About Epomedicine
  • Contact Us
  • Author Guidelines
  • Submit Article
  • Editorial Board
  • USMLE
  • MRCS
  • Thesis
©2025 Epomedicine . All rights reserved.