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Descriptive Classification
Soft Tissue: Open vs Closed
Location: Proximal, Middle, Distal
Fragment number & position: Comminution, Butterfly fragments
Configuration: Transverse, Spiral, Oblique
Angulation: Varus/Valgus, Anterior/Posterior
Displacement: Percentage of cortical contact, Rtotation, Shortening
OTA
Gustilo & Anderson for open fractures
Tscherne for closed fractures
All with poor sensitivity, reproducibility and interobserver reliability