Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010
Abstract. Introduction:. Management of open extremity fractures presents significant challenges due to infection risks and healing complications. The widely used Gustilo-Anderson classification, established in 1976, categorizes open fractures primarily by wound size. However, it has been criticized...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-06-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000391 |
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| author | Babapelumi Adejuyigbe, BS Mohini Gharpure, BS Ria Tilve, BS Shravya Kakulamarri, BS Sophia Wang, BS Jennifer Kallini, MD Ashley E. Levack, MD, MAS Rachel Seymour, PhD Meir Marmor, MD The OTA Classifications & Outcomes Committee Julie Agel, MD Brett Crist, MD Kyle Schweser, MD Kelly LeFaivre, MD Hassan Mir, MD |
| author_facet | Babapelumi Adejuyigbe, BS Mohini Gharpure, BS Ria Tilve, BS Shravya Kakulamarri, BS Sophia Wang, BS Jennifer Kallini, MD Ashley E. Levack, MD, MAS Rachel Seymour, PhD Meir Marmor, MD The OTA Classifications & Outcomes Committee Julie Agel, MD Brett Crist, MD Kyle Schweser, MD Kelly LeFaivre, MD Hassan Mir, MD |
| author_sort | Babapelumi Adejuyigbe, BS |
| collection | DOAJ |
| description | Abstract. Introduction:. Management of open extremity fractures presents significant challenges due to infection risks and healing complications. The widely used Gustilo-Anderson classification, established in 1976, categorizes open fractures primarily by wound size. However, it has been criticized for its poor reliability and lack of crucial outcome measures. In 2010, the Orthopaedic Trauma Association open fracture classification (OTA-OFC) was introduced as a more detailed alternative. Despite its reported advantages in reproducibility and predictive ability, the OTA-OFC has not seen widespread clinical adoption. Understanding how the OTA-OFC has been used since its inception may clarify its impact on medical care and the reasons for its slow acceptance.
Objective(s):. To assess the usage, benefits, and limitations of the OTA-OFC by a systematic review of all publications that used the OTA-OFC since its inception in 2010.
Methods:. Data Sources:. A comprehensive search of Google Scholar, Medline/PubMed, Embase, and Cochrane Database was conducted with the following search terms: [Orthopedic Trauma Association] OR [OTA] AND [Open Fracture Classification] OR [OFC].
Study Selection:. Articles written in English, published between 2010 and 2024, and using the OTA-OFC for research/clinical assessment purposes were included.
Data Extraction:. Data were extracted using Covidence. Extracted data included context of OTA-OFC use, benefits and limitations associated with OTA-OFC, and other descriptive information including study design and number of patients.
Data Synthesis:. Data were compiled, analyzed, and synthesized using Microsoft Excel.
Results/Conclusions:. Although OTA-OFC provides more detailed fracture classification with better outcome predictions, its complexity limits its routine use. Increased clinical evidence and streamlined communication are needed to promote broader acceptance. |
| format | Article |
| id | doaj-art-96819fccc9f2432ebebc91fb8f60fe59 |
| institution | Kabale University |
| issn | 2574-2167 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj-art-96819fccc9f2432ebebc91fb8f60fe592025-08-20T03:53:31ZengWolters KluwerOTA International2574-21672025-06-018210.1097/OI9.0000000000000391OI90000000000000391Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010Babapelumi Adejuyigbe, BS0Mohini Gharpure, BS1Ria Tilve, BS2Shravya Kakulamarri, BS3Sophia Wang, BS4Jennifer Kallini, MD5Ashley E. Levack, MD, MAS6Rachel Seymour, PhD7Meir Marmor, MD8The OTA Classifications & Outcomes CommitteeJulie Agel, MDBrett Crist, MDKyle Schweser, MDKelly LeFaivre, MDHassan Mir, MDa Institute of Global Orthopedics and Traumatology (IGOT), San Francisco, CAb Medical College of Georgia, Augusta, GAa Institute of Global Orthopedics and Traumatology (IGOT), San Francisco, CAa Institute of Global Orthopedics and Traumatology (IGOT), San Francisco, CAa Institute of Global Orthopedics and Traumatology (IGOT), San Francisco, CAc Department of Orthopaedic Surgery, University of California, Los Angeles, Los Angeles, CAd Department of Orthopaedic Surgery & Rehabilitation, Loyola University Medical Center, Maywood, ILf Atrium Health, Charlotte, NCg Zuckerberg San Francisco General Hospital, Orthopaedic Trauma Institute, University of California San Francisco, San Francisco, CA.Abstract. Introduction:. Management of open extremity fractures presents significant challenges due to infection risks and healing complications. The widely used Gustilo-Anderson classification, established in 1976, categorizes open fractures primarily by wound size. However, it has been criticized for its poor reliability and lack of crucial outcome measures. In 2010, the Orthopaedic Trauma Association open fracture classification (OTA-OFC) was introduced as a more detailed alternative. Despite its reported advantages in reproducibility and predictive ability, the OTA-OFC has not seen widespread clinical adoption. Understanding how the OTA-OFC has been used since its inception may clarify its impact on medical care and the reasons for its slow acceptance. Objective(s):. To assess the usage, benefits, and limitations of the OTA-OFC by a systematic review of all publications that used the OTA-OFC since its inception in 2010. Methods:. Data Sources:. A comprehensive search of Google Scholar, Medline/PubMed, Embase, and Cochrane Database was conducted with the following search terms: [Orthopedic Trauma Association] OR [OTA] AND [Open Fracture Classification] OR [OFC]. Study Selection:. Articles written in English, published between 2010 and 2024, and using the OTA-OFC for research/clinical assessment purposes were included. Data Extraction:. Data were extracted using Covidence. Extracted data included context of OTA-OFC use, benefits and limitations associated with OTA-OFC, and other descriptive information including study design and number of patients. Data Synthesis:. Data were compiled, analyzed, and synthesized using Microsoft Excel. Results/Conclusions:. Although OTA-OFC provides more detailed fracture classification with better outcome predictions, its complexity limits its routine use. Increased clinical evidence and streamlined communication are needed to promote broader acceptance.http://journals.lww.com/10.1097/OI9.0000000000000391 |
| spellingShingle | Babapelumi Adejuyigbe, BS Mohini Gharpure, BS Ria Tilve, BS Shravya Kakulamarri, BS Sophia Wang, BS Jennifer Kallini, MD Ashley E. Levack, MD, MAS Rachel Seymour, PhD Meir Marmor, MD The OTA Classifications & Outcomes Committee Julie Agel, MD Brett Crist, MD Kyle Schweser, MD Kelly LeFaivre, MD Hassan Mir, MD Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 OTA International |
| title | Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 |
| title_full | Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 |
| title_fullStr | Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 |
| title_full_unstemmed | Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 |
| title_short | Revisiting the OTA-OFC: a systematic review of open fracture classification studies since 2010 |
| title_sort | revisiting the ota ofc a systematic review of open fracture classification studies since 2010 |
| url | http://journals.lww.com/10.1097/OI9.0000000000000391 |
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