Figure 3.

(a) Clinical photograph of leg with severe crushing of soft tissues with absence of a vascular injury. (b) X-ray of left leg bones (AP view) was showing comminuted fracture tibia with bone loss. MESS has poor senstivity for amputation. Attempted salvage of this leg wound have led to prolonged surgeries and probably a secondary amputation. In contrast, Ganga Hospital Score was 17 indicating the need for amputation. In IIIB injuries, Ganga Hospital Score was more sensitive than a MESS in predicting amputation