Which classification system includes the type described as “ruined” due to a compression fracture of the growth plate?

The Salter Harris Classification is the system specifically designed to categorize fractures of the growth plate (epiphyseal plate), which is critical in pediatric orthopedic evaluation. This classification includes five types of fractures, each indicating varying degrees of involvement of the growth plate and metaphysis.

The term “ruined” in the context of a compression fracture of the growth plate correlates with Type V in the Salter Harris classification, where there is a significant compressive injury that can lead to permanent damage or disruption of the growth plate. This type of injury is particularly concerning because it can ultimately affect future growth and limb length, making it a critical focus in treating pediatric fractures.

The other classification systems mentioned serve different purposes: the AO Classification is more focused on adult long bone fractures and their complexities, the Frankel Classification pertains to spinal cord injuries, and the Gustilo Classification is used for open fractures. Each of these systems has its specific applications and does not address the unique aspects of growth plate injuries, making the Salter Harris Classification the correct choice for the scenario described.