Gustilo Classification to Ganga Hospital Score - Lessons Learnt

Description

In a detailed presentation, S Rajasekaran discusses the evolution and importance of Gustilo's Classification and the Ganga Hospital Score in the management of open limb injuries. He starts by expressing appreciation for modern technology that allows virtual sharing of knowledge despite the lack of face-to-face interaction. Rajasekaran emphasizes that medical practices have advanced beyond just life and limb salvage to achieving optimal functionality for patients.



He critiques Gustilo's Classification, arguing that categorizing all Type 3B injuries similarly fails to account for the variability in injury severity and treatment outcomes. He underscores the need for a more nuanced scoring system that includes detailed assessments of tissue injuries and incorporates patient co-morbidities, leading to better treatment predictions and guidance.



Rajasekaran outlines the Ganga Hospital Score designed to address these challenges, providing an incremental scoring method for evaluating injuries that factors in skin, bone, and musculotendinous injuries separately, as well as overall patient health conditions.



He presents data supporting the effectiveness of this new score, illustrating its advantages in clinical decision-making and emphasizing its predictive ability for successful limb salvage and the necessity for amputation. He concludes by highlighting the availability of this scoring tool in app form, making it accessible for medical professionals to utilize in routine practice.

DOI: 10.1302/3114-221301

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