Abstract
Introduction: In this era of high speedy vehicles road trafc accidents leading to polytrauma and open fractures are very common.There is a lot of confusion regarding amputation or salvage on day 1, particularly in managing open fractures gustilo type IIIB. So there is an urgent need of a scoring system which can prognosticate limb salvage or amputation. Aim: To evaluate the results of open fracture (specially type IIIB) management according to GANGA score and to estimate how successfully it can prognosticate limb salvage or amputation. Materials And Methods: In this prospective study for 1.5 years duration ,50 patients were selected randomly with Gustilo type IIIB open wound from emergency and OPD of ORTHOPAEDICS department (N.R.S.M.C.H) and they were evaluated using GANGA score and MESS score. A multidisciplinary approach was taken to manage the open fracture with proper and timely consultation of vascular and plastic surgeon. Results: Sensitivity and specicity of Ganga score is 100% and 97.82% and that of MESS score is 50% and 86.95%. The positive predictive value of Ganga score is 80% and that of MESS score is 25%. So Ganga score is having greater practical value. Conclusion: This score acts as a predictable single scoring system for both limb salvage and amputation and it can successfully address the dilemma of Primary amputation or limb salvage on Day 1 in type IIIB injury.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
