This document provides information on classifying and managing open fractures. It begins by noting that open fractures are usually caused by high-impact trauma and other life-threatening injuries should be ruled out first. It then discusses the Gustilo classification system for open fractures in three levels of severity from I to III. Type III is further divided into IIIA, IIIB and IIIC. Guidelines recommend aggressive debridement and irrigation, fracture stabilization, antibiotic treatment within 3 hours, and wound closure within 7 days to reduce infection risk. Various case examples are provided to illustrate different types of open fractures.