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A philosophy of care of open injuries based on the Ganga hospital score.

机译：基于恒河医院评分的开放性受伤护理哲学。

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In the management of Type IIIb injuries, Gustilo's classification has the disadvantages of a poor intra and inter-observer agreement rate, low specificity and sensitivity to salvage and inability to predict functional outcomes. We propose here a validated score which assesses the severity of injury to the covering structures, skeletal structures and functional tissues of the injured limb separately along with providing weightage to the presence of co-morbid factors. A high sensitivity and specificity for amputation was documented when a score of 14 was used as the threshold score. In salvaged limbs, the score was found to offer guidelines in protocols for reconstruction. According to the total score, injuries were treated by 'Fix and close' protocol; 'Fix, Bone Graft and Close' protocol, 'Fix and Flap' protocol or 'Stabilise, Watch, Assess and Reconstruct' protocol. The score was thus found to be useful clinically not only to assess salvage but also to provide guidelines in reconstruction.
机译：在IIIb型损伤的治疗中，Gustilo的分类具有观察者内部和观察者之间的一致率低，特异性低，对挽救的敏感性以及无法预测功能结果的缺点。我们在这里提出一个经过验证的评分，该评分可分别评估受伤肢体的覆盖结构，骨骼结构和功能组织的损伤严重程度，并为共病因素的存在提供权重。当使用14分作为阈值分数时，记录了截肢的高灵敏度和特异性。在打捞的四肢中，发现该分数可为重建方案提供指导。根据总分，采用“修复并贴紧”方案治疗受伤; “固定，接骨和闭合”协议，“固定和拍打”协议或“稳定，监视，评估和重建”协议。因此，发现该分数在临床上不仅可用于评估救助率，而且可为重建提供指导。

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