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

Rajasekaran, S.; Sabapathy, S. Raja

doi:10.1016/j.injury.2006.04.135

Cited by 58 publications

(34 citation statements)

References 14 publications

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“…Also the classification is having very poor inter-observer agreement rate [3,4], does not consider co-morbid factors and does not address the question of salvage. To overcome these limitations, Rajasekaran et al came out with Ganga Hospital Open Injury Severity Scoring system (GHOISS) in 2006, for type-IIIA and type-IIIB injuries [5,6]. Ganga Hospital Scoring system gives more clear description of the injuries with additional scoring for co morbid factors.…”

Section: Introductionmentioning

confidence: 99%

Predictability of salvage and outcome of Gustilo and Anderson type-IIIA and type-IIIB open tibial fractures using Ganga Hospital Scoring system

P¹,

Rafi²,

Devadoss³

et al. 2015

Injury

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Section: Introductionmentioning

confidence: 99%

Predictability of salvage and outcome of Gustilo and Anderson type-IIIA and type-IIIB open tibial fractures using Ganga Hospital Scoring system

P¹,

Rafi²,

Devadoss³

et al. 2015

Injury

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“…It has been shown that the frequency and severity of open injuries in developing countries are different from those in developed countries [8]. In developing countries, motorcycle accidents are common, with victims often not wearing thick protective clothing, exposing the knee to severe contamination.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Complete Knee Extensor Mechanism Loss with Gastrocnemius Flaps

Jepegnanam

Boopalan²,

Nithyananth³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…Tibial fractures which belonged to 42 A, B and 43 A, B were included. Open fractures were classified and managed based on the Ganga Hospital Open Injury Severity Score (GHOISS) proposed by Rajasekaran et al which specifically addresses the issue of salvage and reconstruction pathways in open injuries [5,6] . In closed fractures with TBI (group IA), there were 34 patients (femur-19 and tibia-15).…”

Section: Methodsmentioning

confidence: 99%

Does accelerated bone healing associated with traumatic brain injury (TBI) occur in open fractures

Perumal¹,

Sp²,

Shankar³

et al. 2018

Int. J. Orthop. Sci.

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Aim: Accelerated bone healing has been frequently reported in patients with traumatic brain injury (TBI). However, all these reports are restricted to closed fractures and there is no literature of the effect of TBI in open fractures. Between 2011 and 2013, sixty six patients with TBI of whom thirty four had closed fractures (Group IA) and thirty two had open fractures (Group IIA) were compared with eighty patients without TBI of whom forty had closed fractures (Group IB) and forty had open fractures (Group IIB). The mean duration of follow up was 13 months. Time to fracture union and fracture healing response were compared in both groups. Though group IA patients had shorter time to union (27 weeks) compared to all other groups (IB-32 weeks, IIA-36 weeks, IIB-30 weeks), there was no statistical significance between the groups (P>0.05). However, the subset of patients who underwent craniotomy in Group IA (6) had significantly shorter time to healing (24 weeks, P=0.05) compared to other groups. Considering the fracture healing response (FHR), there was no statistical difference between groups. Accelerated callus response from FHR of 1.4 to 1.8 was observed in closed fractures for thirty six weeks, whereas this was seen only for eighteen weeks in open fractures. In our study of 146 patients, the beneficial effect of TBI on fracture healing was restricted to the subset of patients with closed fractures and those requiring craniotomy. There was no beneficial response in patients with open fractures.

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

Cited by 58 publications

References 14 publications

Predictability of salvage and outcome of Gustilo and Anderson type-IIIA and type-IIIB open tibial fractures using Ganga Hospital Scoring system

Predictability of salvage and outcome of Gustilo and Anderson type-IIIA and type-IIIB open tibial fractures using Ganga Hospital Scoring system

Reconstruction of Complete Knee Extensor Mechanism Loss with Gastrocnemius Flaps

Does accelerated bone healing associated with traumatic brain injury (TBI) occur in open fractures

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