Table 2.
Ganga hospital open injury severity score.
| Covering structures: Skin and fascia | Score |
|---|---|
| Wounds without skin loss | |
| Not over the fracture | 1 |
| Exposing the fracture | 2 |
| Wounds with skin loss | |
| Not over the fracture | 3 |
| Over the fracture | 4 |
| Circumferential wound with skin loss | 5 |
| Skeletal structures: Bone and joints | |
| Transverse/oblique fracture/butterfly fragment < 50% circumference | 1 |
| Large butterfly fragment > 50% circumference | 2 |
| Comminution/segmental fractures without bone loss | 3 |
| Bone loss < 4 cm | 4 |
| Bone loss > 4 cm | 5 |
| Functional tissues: musculotendinous (MT) and nerve units | |
| Partial injury to MT unit | 1 |
| Complete but repairable injury to MT units | 2 |
| Irreparable injury to MT units/partial loss of a compartment/complete injury to posterior tibial nerve | 3 |
| Loss of one compartment of MT units | 4 |
| Loss of two or more compartments/subtotal amputation | 5 |
| Comorbid conditions: add 2 points for each condition present | |
| (1) Injury-debridement interval > 12 hrs | |
| (2) Sewage or organic contamination/farmyard injuries | |
| (3) Age > 65 yrs | |
| (4) Drug-dependent diabetes mellitus/cardio respiratory diseases leading to increased anesthetic risk | |
| (5) Polytrauma involving chest or abdomen with ISS > 25/Fat embolism | |
| (6) Hypotension with systolic blood pressure < 90 mm Hg at presentation | |
| (7) Another major injury to the same limb/compartment syndrome |