Original Article: PDF OnlyAdaptation of the CDC Surgical Wound Classification System for Orthopaedic Trauma SurgeryScolaro, John A. M.D., M.A1; Agel, Julie M.A, A.T.C2; Marmor, Meir. M.D3; Dumpe, Jarrod M.D4; Karam, Matt M.D5; Kellam, James M.D6; Meinberg, Eric M.D7; Munz, John M.D8; Nguyen, Mai M.D9; Soles, Gillian M.D10; Stinner, Daniel M.D., Ph.D11; Marecek, Geoffrey S. M.D12Author Information 1Associate Professor, University of California, Irvine, Orange, CA 2Harborview Medical Center – University of Washington, Seattle, WA 3Associate Professor, University of California, San Francisco, San Francisco, CA 4Atrium Navicent Health, Macon, GA 5Professor, University of Iowa, Iowa City, IA 6Professor, University of Texas Health Science Center at Houston, Houston, TX 7Professor, University of California, San Francisco, San Francisco, CA 8Associate Professor, University of Texas Health Science Center at Houston, Houston, TX 9Assistant Professor, University of Minnesota, Minneapolis, MN 10Associate Professor, University of Rochester, Rochester, NY 11Assistant Professor, Vanderbilt University Medical Center, Nashville, TN 12Associate Professor, Cedars – Sinai Medical Center, Los Angeles, CA Corresponding Author: John Scolaro, M.D., M.A, Address: University of California, Irvine – Department of Orthopaedic Surgery, 101 The City Drive South, Building 29A, Pavilion III, Orange, CA, 92868, Phone: Work: +1 (714) 456-7012; Cell: +1 (267) 252-3868; Fax: +1 (714) 456-7547, E-mail: [email protected] Conflicts of Interest and Sources of Funding: None Journal of Orthopaedic Trauma: September 09, 2021 - Volume - Issue - doi: 10.1097/BOT.0000000000002269 Buy PAP Metrics Abstract Objectives: Evaluate a proposed orthopaedic specific surgical wound classification system (SWCS) as well as the current Centers for Disase Control (CDC) system in series of detailed clinical vignettes. Identify degree of satisfaction with CDC SWCS and desire for institution of an orthopaedic specific SWCS. Methods: Forty-five clinical vignettes and a 5 question survey was distributed to current and past members of the Orthopaedic Trauma Association’s Classification Committee. Respondents were asked to provide wound class for each vignette using the CDC and orthopaedic SWCS. Results: The orthopaedic and SWCS had interclass correlation of 0.95 and 0.91, respectively. When the systems were compared, in 34% of cases there was no grade change; in 63% of cases the wound was graded higher using the orthopaedic specific SWCS. When only the procedure was changed between vignettes, wound classification was infrequently affected. There was near universal dissatisfaction with the CDC SWCS and desire for an orthopaedic specific system. Conclusions: Both the CDC and orthopaedic SWCS have excellent interobserver reliability. Incorporation of orthopaedic specific languge affects wound classification. There is low satisfaction with the current CDC SWCS and a desire exists for further development and validation of an orthopaedic SWCS. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.